Provider Demographics
NPI:1548380462
Name:BROOKE, HEATHER DAWN (BHRS)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:DAWN
Last Name:BROOKE
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6202 S LEWIS AVE
Mailing Address - Street 2:STE J,
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1099
Mailing Address - Country:US
Mailing Address - Phone:918-587-9471
Mailing Address - Fax:918-560-1399
Practice Address - Street 1:6202 S LEWIS AVE
Practice Address - Street 2:STE J,
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1099
Practice Address - Country:US
Practice Address - Phone:918-584-4549
Practice Address - Fax:918-382-1886
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor