Organization
BRIGHTER OUTLOOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ANN BILLIPS LBP (PRESIDENT)
(918) 812-5315
Entity
Organization
Contact information
Practice address
25206 E 64TH ST S, BROKEN ARROW, OK 74014-2213
(918) 812-5315
(918) 615-6415
Mailing address
25206 E 64TH ST S, BROKEN ARROW, OK 74014-2213
(918) 812-5315
(918) 615-6415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4835
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003226780A
—
OK
Enumeration date
12/17/2015
Last updated
12/17/2015
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