Provider Demographics
NPI:1447813365
Name:BRINLEE, LACEY KALYNNE (LMFT CANDIDATE)
Entity type:Individual
Prefix:
First Name:LACEY
Middle Name:KALYNNE
Last Name:BRINLEE
Suffix:
Gender:F
Credentials:LMFT CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 E CARL ALBERT PKWY
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5092
Mailing Address - Country:US
Mailing Address - Phone:918-423-0220
Mailing Address - Fax:918-423-2015
Practice Address - Street 1:104 E CARL ALBERT PKWY
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5092
Practice Address - Country:US
Practice Address - Phone:918-423-0220
Practice Address - Fax:918-423-2015
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist