Provider Demographics
NPI:1649612730
Name:ARMENDARIZ, RONDA M (MHR, LPC)
Entity type:Individual
Prefix:
First Name:RONDA
Middle Name:M
Last Name:ARMENDARIZ
Suffix:
Gender:F
Credentials:MHR, LPC
Other - Prefix:
Other - First Name:RONDA
Other - Middle Name:M
Other - Last Name:TRUMBLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1491 S SUNNYLANE RD
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-3037
Mailing Address - Country:US
Mailing Address - Phone:405-437-2240
Mailing Address - Fax:661-231-3153
Practice Address - Street 1:1491 S SUNNYLANE RD
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-3037
Practice Address - Country:US
Practice Address - Phone:405-437-2240
Practice Address - Fax:661-231-3153
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
OK6618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor