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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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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