Provider Demographics
NPI:1932440559
Name:ATOLAGBE, SUNDAY MOSES (LPC CANDIDATE)
Entity Type:Individual
Prefix:MR
First Name:SUNDAY
Middle Name:MOSES
Last Name:ATOLAGBE
Suffix:
Gender:M
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11405 ROXBORO AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-1340
Mailing Address - Country:US
Mailing Address - Phone:405-414-1581
Mailing Address - Fax:
Practice Address - Street 1:11405 ROXBORO AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-1340
Practice Address - Country:US
Practice Address - Phone:405-414-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health