Provider Demographics
NPI:1346477734
Name:BRIGGS BEHAVIORAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:BRIGGS BEHAVIORAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:405-410-2908
Mailing Address - Street 1:124 N BRYANT AVE STE C4
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6305
Mailing Address - Country:US
Mailing Address - Phone:405-410-2908
Mailing Address - Fax:
Practice Address - Street 1:124 N BRYANT AVE STE C4
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6305
Practice Address - Country:US
Practice Address - Phone:405-410-2908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management