Provider Demographics
NPI:1598058612
Name:MUHAMMAD, ATASHIA MONIQUE (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:ATASHIA
Middle Name:MONIQUE
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:MRS
Other - First Name:ATASHIA
Other - Middle Name:MONIQUE
Other - Last Name:MUHAMMAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC, NCC
Mailing Address - Street 1:5009 SE 58TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-4434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5009 SE 58TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-4434
Practice Address - Country:US
Practice Address - Phone:405-885-5449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7050101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7050OtherLICENSED PROFESSIONAL COUNSELOR