Merle Gene Brock, LMFT
Individual provider Active NPI Marriage & Family Therapist · Broken Arrow, OK
NPI 1689854259 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1689854259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 802 (OK)
- Practice address
- 3101 N Hemlock Cir Ste 100
Broken Arrow, OK 74012-1298 - Phone
- (918) 615-3435
- Fax
- (918) 615-3436
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crosspoint Community Counseling LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
3101 N Hemlock Cir
Ste 100
Broken Arrow, OK 74012
Phone (918) 615-3435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 802 | OK | Yes |
Addresses
Primary practice location
3101 N Hemlock Cir Ste 100
Broken Arrow, OK 74012-1298
Mailing address
3101 N Hemlock Cir Ste 100
Broken Arrow, OK 74012-1298
Phone (918) 615-3435
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All providers in Broken Arrow, OK · Marriage & Family Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. 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.