Provider Demographics
NPI:1871711242
Name:BRAMBLE, BARBARA MOSS (LCSW, LMFT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:MOSS
Last Name:BRAMBLE
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S COLUMBIA AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3505
Mailing Address - Country:US
Mailing Address - Phone:918-749-9897
Mailing Address - Fax:918-749-9962
Practice Address - Street 1:2121 S COLUMBIA AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-3505
Practice Address - Country:US
Practice Address - Phone:918-749-9897
Practice Address - Fax:918-749-9962
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2351041C0700X
OK257106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist