Provider Demographics
NPI:1720395379
Name:ADJEI- BOACHIE, MEEKY (LADC UNDER/SUPERVISI)
Entity type:Individual
Prefix:
First Name:MEEKY
Middle Name:
Last Name:ADJEI- BOACHIE
Suffix:
Gender:F
Credentials:LADC UNDER/SUPERVISI
Other - Prefix:
Other - First Name:MEEKY
Other - Middle Name:
Other - Last Name:YANKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7226 NW 36TH ST
Mailing Address - Street 2:2000
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3214
Mailing Address - Country:US
Mailing Address - Phone:405-217-4027
Mailing Address - Fax:405-521-1138
Practice Address - Street 1:3005 NW 63RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3603
Practice Address - Country:US
Practice Address - Phone:405-521-1755
Practice Address - Fax:405-521-1138
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health