MEDICARE: BROOKE LARIMORE 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
1	101YM0800X	Mental Health Counselor	12083	OK

General Provider Information

NPI Number	:	1780569525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE LARIMORE LPC

Provider Business Mailing Address
First Line	:	102 W EUFAULA ST STE 117
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-5688
Country	:	US
Telephone Number	:	405-388-8308
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 W EUFAULA ST STE 117
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-5688
Country	:	US
Telephone Number	:	405-388-8308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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Directions to “ BROOKE LARIMORE LPC” Practice Location

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