Isabella Gail Burrell, LPC, NCGC1
Individual provider Active NPI Counselor · Miami, OK
NPI 1043318249 · NPPES record last updated Mar 7, 2016
Key facts
- NPI
- 1043318249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1519 E Steve Owens Boulevard
Miami, OK 74354 - Phone
- (918) 576-3050
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1519 E Steve Owens Boulevard
Miami, OK 74354
Mailing address
723 D St SE
Miami, OK 74354-8325
Phone (918) 576-3050
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.