Staci Leann Brantwein
School Counselor Mental Health Counselor
120 W. Broadway
Thomas
, Oklahoma 73669-7366
Staci Leann Brantwein
School Counselor Mental Health Counselor
120 W. Broadway
Thomas
, Oklahoma 73669-7366
(806) 282-5439
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About
Features
Specialties
- Mental Health Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Staci Leann Brantwein
- 710 N Main St
- Thomas, OK
- Zip : 73669-8018
- Phone : (806) 282-5439
Second Address
- Staci Leann Brantwein
- 120 W. Broadway
- Thomas, OK
- Zip : 73669-7366
- Fax : (580) 661-3488
- Phone : (580) 661-3588
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Is Staci Leann Brantwein a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 5838 | OK |
| N | 101YS0200X | School Counselor |
National Provider Identifier
| NPI | 1164862843 |
|---|---|
| Provider Name | Staci Leann Brantwein |
| First Address | Thomas, OK 73669-8018 |
| Second Address | Thomas, OK 73669-7366 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2013 |
| Last Update Date | 13/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.