Provider Demographics
NPI:1336259399
Name:MCAULIFFE, SONYA MICHELLE (LPC, LADC)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:MICHELLE
Last Name:MCAULIFFE
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 1:111 N HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73521-3811
Mailing Address - Country:US
Mailing Address - Phone:580-318-6446
Mailing Address - Fax:580-581-1819
Practice Address - Street 1:111 N HUDSON ST
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-3811
Practice Address - Country:US
Practice Address - Phone:580-318-6446
Practice Address - Fax:580-581-1819
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2035101YM0800X
OK855101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)