Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENT MATTHEW BLACK, LPC
Active Sole ProprietorMR. BRENT MATTHEW BLACK, LPC is a Professional Counselor healthcare provider located in OKMULGEE, Oklahoma. NPI 1861580375 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · OKMULGEE, OK
Registration Details
- NPI Number
- 1861580375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.820159794347 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3251 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 N GRAND AVESUITE 419OKMULGEE, OK, 744474013Browse OK providers · Browse ZIP 74447
- Phone
- 9187569411
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in OKMULGEE, OK
| Name | Credential | NPI |
|---|---|---|
| MICHAEL KEITH BURNSIDE | LPC, LADC | 1194739334 |
| TRUMAN KEITH KEPLINGER | LPC | 1891703542 |
| MS. SHARON DALRYMPLE | LPC | 1578767943 |
| LESLIE LYNN CROW | LPC | 1003052465 |
| HOLLY TRUNK | — | 1881987899 |
| EMMA LEE DE LA CRUZ | — | 1174874275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.