Provider Demographics
NPI:1952631590
Name:COPELAND, BRANDI RHEA KELLY (MED, LPC, CADC)
Entity Type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:RHEA KELLY
Last Name:COPELAND
Suffix:
Gender:F
Credentials:MED, LPC, CADC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:RHEA
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA USP
Mailing Address - Street 1:624 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-3924
Mailing Address - Country:US
Mailing Address - Phone:405-799-3379
Mailing Address - Fax:405-799-0912
Practice Address - Street 1:624 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-3924
Practice Address - Country:US
Practice Address - Phone:405-799-3379
Practice Address - Fax:405-799-0912
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor