Provider Demographics
NPI:1740563964
Name:COTRONE, ALOYSHA CHARVANAY
Entity Type:Individual
Prefix:MISS
First Name:ALOYSHA
Middle Name:CHARVANAY
Last Name:COTRONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALOYSHA
Other - Middle Name:CHARVANAY
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12309 EDISON DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-5522
Mailing Address - Country:US
Mailing Address - Phone:479-236-4973
Mailing Address - Fax:
Practice Address - Street 1:4001 N CLASSEN BLVD STE 225
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2670
Practice Address - Country:US
Practice Address - Phone:405-231-3150
Practice Address - Fax:405-231-3157
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst