O'Bryan, Carol Ellise
O'Bryan, Carol Ellise is an individual health care provider with primary practice located at 301 S Poplar Ave , Broken Arrow OK 74012-8396. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. O'Bryan, Carol Ellise can be contacted via phone (918) 251-1662.Contact Information
Primary practice address
301 S Poplar Ave
Broken Arrow OK 74012-8396
Phone: (918) 251-1662
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 895 | Oklahoma |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2007002866 | Missouri |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2006029726 | Missouri |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4025 | Oklahoma |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 798 | Tennessee |
Profile Details
NPI number | 1528127388 |
---|---|
LBN Legal business name | O'Bryan, Carol Ellise |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2006 |
Last updated | Jun 27th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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