Mandy Brixey

Individual provider Active NPI Mental Health Counselor · Bethany, OK

NPI 1558775080 · NPPES record last updated Jun 12, 2014

Key facts

NPI
1558775080
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
4213 N Hammond Ave
Bethany, OK 73008-2922
Phone
(405) 971-4393
NPI assigned
Jun 12, 2014
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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

4213 N Hammond Ave
Bethany, OK 73008-2922

Mailing address

4213 N Hammond Ave
Bethany, OK 73008-2922
Phone (405) 971-4393

Other providers in Bethany, OK

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

Sources for this page

Verify at the official NPI Registry.