Provider Demographics
NPI:1194926675
Name:CUNNINGHAM, DONNA PARKS (LPC, LADC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:PARKS
Last Name:CUNNINGHAM
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 1:933 E BRITTON RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7802
Mailing Address - Country:US
Mailing Address - Phone:405-326-6868
Mailing Address - Fax:405-326-6868
Practice Address - Street 1:933 E BRITTON RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7802
Practice Address - Country:US
Practice Address - Phone:405-326-6868
Practice Address - Fax:405-326-6868
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC 1585101Y00000X
OKLADC 478101YA0400X
OKLPC 1585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)