Provider Demographics
NPI:1154598548
Name:RICHARDSON MUMINA, JOYCE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:RICHARDSON MUMINA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N.E. 4TH STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-3003
Mailing Address - Country:US
Mailing Address - Phone:405-601-5566
Mailing Address - Fax:405-601-5569
Practice Address - Street 1:1500 N.E. 4TH STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-3003
Practice Address - Country:US
Practice Address - Phone:405-601-5566
Practice Address - Fax:405-601-5569
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKS2440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health