Woody, Latoya Nichole

Woody, Latoya Nichole is an sole proprietor health care provider with primary practice located at 4501 N Classen Blvd , Oklahoma City OK 73118-4822. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Woody, Latoya Nichole can be contacted via phone (405) 968-2413.

Contact Information

Primary practice address
4501 N Classen Blvd Oklahoma City OK 73118-4822
Phone: (405) 968-2413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Oklahoma

Profile Details

NPI number 1154665511
LBN Legal business name Woody, Latoya Nichole
Credentials CASE MANAGE 1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2012
Last updated Mar 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154665511 NPPES
Oklahoma MEDICAID 1154665511

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