Organization Name: | BRIGHTER OUTLOOK |
NPI Number: | 1073978029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN ANN BILLIPS (PRESIDENT) |
Mailing Address: | 25206 E 64th St S Broken Arrow |
State: | OK US |
Postal Code: | 740142213 |
Phone Number: | 9188125315 |
Fax Number: | 9186156415 |
NPI Enumeration Date: | 12/17/2015 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |