Provider Demographics
NPI:1497018337
Name:BRABITS, MICHEAL ANTHONY
Entity Type:Individual
Prefix:
First Name:MICHEAL
Middle Name:ANTHONY
Last Name:BRABITS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-2603
Mailing Address - Country:US
Mailing Address - Phone:405-230-1177
Mailing Address - Fax:
Practice Address - Street 1:415 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-2603
Practice Address - Country:US
Practice Address - Phone:405-230-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor