Healthcare Provider Details

I. General information

NPI: 1689346918
Provider Name (Legal Business Name): LAQUITTA ONYEJIAKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 PERIMETER CENTER DR STE 102
OKLAHOMA CITY OK
73112-2310
US

IV. Provider business mailing address

4200 PERIMETER CENTER DR STE 102
OKLAHOMA CITY OK
73112-2310
US

V. Phone/Fax

Practice location:
  • Phone: 405-836-3044
  • Fax:
Mailing address:
  • Phone: 405-836-3044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: