Healthcare Provider Details

I. General information

NPI: 1316858905
Provider Name (Legal Business Name): KIMBERLY BRENNAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 WALL ST
NORMAN OK
73069-6302
US

IV. Provider business mailing address

820 WALL ST
NORMAN OK
73069-6302
US

V. Phone/Fax

Practice location:
  • Phone: 405-928-2044
  • Fax: 405-928-2046
Mailing address:
  • Phone: 405-928-2044
  • Fax: 405-928-2046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY E BRENNAN
Title or Position: OWNER
Credential: LPC
Phone: 405-928-2044