Provider Demographics
NPI:1356874549
Name:PERKINS, BRANDI (MS)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870734 S 3350 RD
Mailing Address - Street 2:
Mailing Address - City:WELLSTON
Mailing Address - State:OK
Mailing Address - Zip Code:74881-8923
Mailing Address - Country:US
Mailing Address - Phone:405-816-1038
Mailing Address - Fax:
Practice Address - Street 1:405 N INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834-5803
Practice Address - Country:US
Practice Address - Phone:405-258-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional