Debra K Brantley, LPC

Individual provider Active NPI Mental Health Counselor · Duncan, OK

NPI 1154350486 · NPPES record last updated Jul 16, 2019

Key facts

NPI
1154350486
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1883 (OK)
Practice address
1309 W Pine Ave
Duncan, OK 73533-4263
Phone
(580) 255-7460
Fax
(580) 255-7675
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1883OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Chiropractic Clinic, P. C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1883 OK Yes

Addresses

Primary practice location

1309 W Pine Ave
Duncan, OK 73533-4263

Mailing address

1309 W Pine Ave
Duncan, OK 73533-4263
Phone (580) 255-7460

Other practice location 1

1212 W Willow Ave
Duncan, OK 73533-4725
Phone (580) 255-7460

Other names

  • Deb Brantley Other name

Other providers in Duncan, OK

All providers in Duncan, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.