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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspoint Community Counseling LLC Marriage & Family Therapist Current
since Jan 14, 2024
Accepting new patients

Locations

3101 N Hemlock Cir
Ste 100
Broken Arrow, OK 74012
Phone (918) 615-3435

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other providers in Broken Arrow, OK

All providers in Broken Arrow, OK · Marriage & Family Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.