Provider Demographics
NPI:1720196124
Name:BEHRENS, CAROL P (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:P
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 A COPPERFIELD DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4147
Mailing Address - Country:US
Mailing Address - Phone:405-364-6233
Mailing Address - Fax:405-364-0520
Practice Address - Street 1:860 A COPPERFIELD DRIVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4147
Practice Address - Country:US
Practice Address - Phone:405-364-6233
Practice Address - Fax:405-364-0520
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical