Organization Name: | BRUMLEY COUNSELING |
NPI Number: | 1083965693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY M BRUMLEY (OWNER) |
Mailing Address: | 811 W Choctaw St Broken Bow |
State: | OK US |
Postal Code: | 747284525 |
Phone Number: | 5805842285 |
Fax Number: | 5805842284 |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |