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NPI Code Detail

MEDICARE: BRIAN ORMSBY LPC

MEDICARE: BRIAN ORMSBY 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
1101YP2500XProfessional Counselor3776OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710047428
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN ORMSBY LPC
Provider Business Mailing Address
First Line : 23 E ROSS AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-6423
Country : US
Telephone Number : 918-216-4999
Fax Number :
Provider Business Practice Location Address
First Line : 23 E ROSS AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-6423
Country : US
Telephone Number : 918-216-4999
Fax Number : 918-216-4998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 01/17/2017

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Directions to “ BRIAN ORMSBY LPC” Practice Location

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