Provider Demographics
NPI:1497097034
Name:ABSHIRE, BRITTANY LEAH
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEAH
Last Name:ABSHIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73023-0159
Mailing Address - Country:US
Mailing Address - Phone:580-215-3706
Mailing Address - Fax:
Practice Address - Street 1:1327 PARK AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-6628
Practice Address - Country:US
Practice Address - Phone:580-215-3706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor