NPI 1689854259 · live from the CMS NPI Registry
Merle Gene Brock, LMFT
Marriage & Family Therapist in Broken Arrow, OK. National Provider Identifier 1689854259, active.
NPI record
| NPI | 1689854259 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3101 N Hemlock Cir Ste 100, Broken Arrow, OK 74012 |
| Practice phone | 918-615-3435 |
| Enumerated | November 12, 2007 |
| Last updated | February 7, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 802 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.