Healthcare Provider Details

I. General information

NPI: 1962225151
Provider Name (Legal Business Name): BRIANNE BARNETT LPC CANDIDATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 LINDA LN
DEL CITY OK
73115-5012
US

IV. Provider business mailing address

640 TULSA ST
NORMAN OK
73071-4635
US

V. Phone/Fax

Practice location:
  • Phone: 405-733-5437
  • Fax:
Mailing address:
  • Phone: 303-921-1442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCCANDIDATE12464
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: