Healthcare Provider Details

I. General information

NPI: 1124952916
Provider Name (Legal Business Name): BRITTNEY ROBERTSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 SE 48TH ST APT 501
OKLAHOMA CITY OK
73135-4158
US

IV. Provider business mailing address

5707 SE 48TH ST APT 501
OKLAHOMA CITY OK
73135-4158
US

V. Phone/Fax

Practice location:
  • Phone: 405-916-3386
  • Fax:
Mailing address:
  • Phone: 405-916-3386
  • Fax:

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:
Title or Position:
Credential:
Phone: