Brenda Sue Mathis

LBN: Brenda Sue Mathis
Brenda Sue Mathis is an health care organization with primary practice located at 4034 W Roanoke Pl , Broken Arrow OK 74011-1327. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Brenda Sue Mathis can be contacted via phone (918) 698-7171, or through Mathis, Brenda Sue via phone (918) 698-7171.

Contact Information

Primary practice address
4034 W Roanoke Pl Broken Arrow OK 74011-1327
Phone: (918) 698-7171
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Brenda Sue MAMFT
Phone: (918) 698-7171

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Oklahoma
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X Oklahoma
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Oklahoma

Profile Details

NPI number 1215261086
LBN Legal business name Brenda Sue Mathis
DBA Doing business as Brenda Sue Mathis
Authorized official Mathis, Brenda Sue MAMFT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2009
Last updated Sep 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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