Provider Demographics
NPI:1790921518
Name:SUGGS, LAKEISHA DENEICE
Entity Type:Individual
Prefix:
First Name:LAKEISHA
Middle Name:DENEICE
Last Name:SUGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12301 N. MACARTHUR BOULEVARD
Mailing Address - Street 2:#505
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142
Mailing Address - Country:US
Mailing Address - Phone:405-684-5288
Mailing Address - Fax:
Practice Address - Street 1:12301 N MACARTHUR BLVD APT 505
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-3041
Practice Address - Country:US
Practice Address - Phone:405-684-5288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health