Shine, Breanna Brooke

Shine, Breanna Brooke is an sole proprietor health care provider with primary practice located at 3015 E Skelly Dr , Tulsa OK 74105-6317. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shine, Breanna Brooke can be contacted via phone (918) 718-0859.

Contact Information

Primary practice address
3015 E Skelly Dr Tulsa OK 74105-6317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1477813426
LBN Legal business name Shine, Breanna Brooke
Credentials LCSW-US
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2012
Last updated Jul 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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