Provider Demographics
NPI:1487925053
Name:PARGALI, SORAIA MARIE
Entity type:Individual
Prefix:
First Name:SORAIA
Middle Name:MARIE
Last Name:PARGALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-6815
Mailing Address - Country:US
Mailing Address - Phone:405-274-2233
Mailing Address - Fax:405-594-6091
Practice Address - Street 1:111 N 5TH ST
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2405
Practice Address - Country:US
Practice Address - Phone:405-274-2233
Practice Address - Fax:405-594-6091
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional