Provider Demographics
NPI:1912329947
Name:STARKEY, TONYA (LCSW)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:STARKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 HALLYE CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-4741
Mailing Address - Country:US
Mailing Address - Phone:903-217-5330
Mailing Address - Fax:
Practice Address - Street 1:6218 HALLYE CT
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-4741
Practice Address - Country:US
Practice Address - Phone:903-217-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX414801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical