Provider Demographics
NPI:1598058612
Name:STANFIELD, ATASHIA MONIQUE
Entity Type:Individual
Prefix:
First Name:ATASHIA
Middle Name:MONIQUE
Last Name:STANFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ATASHIA
Other - Middle Name:MONIQUE
Other - Last Name:MUHAMMAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1820 N SHARTEL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1820 N SHARTEL AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2124
Practice Address - Country:US
Practice Address - Phone:405-503-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health