Provider Demographics
NPI:1649593096
Name:BRINSON, BRENDA KAY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:KAY
Last Name:BRINSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:KAY
Other - Last Name:STYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAMFT
Mailing Address - Street 1:600 LAKESIDE CIR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6600
Mailing Address - Country:US
Mailing Address - Phone:405-618-3638
Mailing Address - Fax:
Practice Address - Street 1:1985 W 33RD ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3875
Practice Address - Country:US
Practice Address - Phone:405-618-3638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health