Organization
BRIAN MICHAEL LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MICHAEL LCSW (PRESIDENT)
(405) 464-1051
Entity
Organization
Contact information
Practice address
1300 MCGEE DR STE 103, NORMAN, OK 73072-5858
(405) 606-1500
Mailing address
307 HORIZON VIEW CT, NORMAN, OK 73071-4165
(405) 464-1051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
12/23/2020
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