Brighter Outlook | |
25206 E 64th St S Broken Arrow OK 74014-2213 | |
(918) 812-5315 | |
(918) 615-6415 |
Full Name | Brighter Outlook |
---|---|
Speciality | Counselor - Mental Health |
Location | 25206 E 64th St S, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Kathleen Ann Billips (PRESIDENT) |
Authorized Official Contact | 9188125315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brighter Outlook 25206 E 64th St S Broken Arrow OK 74014-2213 Ph: (918) 812-5315 | Brighter Outlook 25206 E 64th St S Broken Arrow OK 74014-2213 Ph: (918) 812-5315 |
NPI Number | 1073978029 |
---|---|
Provider Enumeration Date | 12/17/2015 |
Last Update Date | 12/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073978029 | NPI | - | NPPES |
2003226780A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4835 (Oklahoma) | Primary |
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