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NPI Code Detail

MEDICARE: LINSEY BROOKE RAY LPC

MEDICARE:   LINSEY BROOKE RAY  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1043518525
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINSEY BROOKE RAY LPC
Provider Business Mailing Address
First Line : 2125 LAKECREST DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-7462
Country : US
Telephone Number : 405-318-2637
Fax Number : 405-702-6680
Provider Business Practice Location Address
First Line : 2125 LAKECREST DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-7462
Country : US
Telephone Number : 405-318-2637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2011
Last Update Date : 03/18/2021

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Directions to “ LINSEY BROOKE RAY LPC” Practice Location

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