Provider Demographics
NPI:1881842458
Name:WORTHY-MUHAMMAD, GLORIA D (LPC, LADC)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:D
Last Name:WORTHY-MUHAMMAD
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73121-5410
Mailing Address - Country:US
Mailing Address - Phone:405-250-5956
Mailing Address - Fax:405-942-4790
Practice Address - Street 1:5100 N BROOKLINE AVE STE 950
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3615
Practice Address - Country:US
Practice Address - Phone:405-717-9549
Practice Address - Fax:405-947-9420
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK595101YA0400X
OK3935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional