Organization
CROSSPOINT COMMUNITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLE BROCK LMFT (OWNER/THERAPIST)
(918) 615-3435
Entity
Organization
Contact information
Practice address
3101 N HEMLOCK CIR, SUITE 100, BROKEN ARROW, OK 74012-1103
(918) 615-3435
(918) 615-3436
Mailing address
3101 N HEMLOCK CIR, SUITE 100, BROKEN ARROW, OK 74012-1103
(918) 615-3435
(918) 615-3436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12455199
CAQH
—
01
—
1689854259
TYPE I NPI
—
Enumeration date
01/17/2017
Last updated
02/22/2024
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