Provider Demographics
NPI:1295031359
Name:ROSAS, MONICA M (LADC-MH)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:M
Last Name:ROSAS
Suffix:
Gender:F
Credentials:LADC-MH
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:M
Other - Last Name:HINKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LADC-MH
Mailing Address - Street 1:420 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-5610
Mailing Address - Country:US
Mailing Address - Phone:405-236-0701
Mailing Address - Fax:405-236-0737
Practice Address - Street 1:SSMH - ST. ANTHONY'S HOSPITAL
Practice Address - Street 2:2825 PARKLAWN DRIVE
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110
Practice Address - Country:US
Practice Address - Phone:405-610-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 104100000X
OK1406101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker