Provider Demographics
NPI:1134542905
Name:PARSONS, LASONDRA (MHR)
Entity type:Individual
Prefix:
First Name:LASONDRA
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MHR
Other - Prefix:
Other - First Name:SONI
Other - Middle Name:
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:123 E TONHAWA ST
Mailing Address - Street 2:108
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7209
Mailing Address - Country:US
Mailing Address - Phone:405-364-2008
Mailing Address - Fax:405-364-4496
Practice Address - Street 1:123 E TONHAWA ST
Practice Address - Street 2:108
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7209
Practice Address - Country:US
Practice Address - Phone:405-364-2008
Practice Address - Fax:405-364-4496
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200524270BMedicaid