Provider Demographics
NPI:1275549651
Name:VALOIS, TONYA L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:L
Last Name:VALOIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:L
Other - Last Name:VOSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2501 BRENTON DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-3616
Mailing Address - Country:US
Mailing Address - Phone:405-573-9905
Mailing Address - Fax:405-844-0729
Practice Address - Street 1:448 36TH AVE NW STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4743
Practice Address - Country:US
Practice Address - Phone:405-573-9905
Practice Address - Fax:405-844-0729
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200044500AMedicaid
OK200044500AMedicaid