MR. ERIC LEE VANDE BRAKE (NPI# 1093840332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093840332 |
| Entity Type | Individual |
| Full Name | MR. ERIC LEE VANDE BRAKE |
| Credential | MS LMFT |
| Practice Address |
2325 S Harvard Tulsa OK 74114-3300 |
| Mailing Address |
650 S Peoria Tulsa OK 74120-4429 |
| Practice Telephone | 9187124301 |
| Practice Fax Number | 9187123409 |
| Mailing Telephone | 9185879471 |
| Mailing Fax Number | 9185600137 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 730LMFT | OK | Behavioral Health & Social Service Providers |
| Street Address |
2325 S HARVARD |
| City | TULSA |
| State | OK |
| Zip Code | 74114-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043371792 | Elka Serrano | Psychiatry & Neurology | 2325 S Harvard, Tulsa, OK 74114-3300 | 2006-12-13 |
| 1396100681 | Amie Grierson | Case Manager/Care Coordinator | 2325 S Harvard, Tulsa, OK 74114 | 2015-12-31 |
| 1669722062 | Audrey Aurora Bevenue | Behavioral Analyst | 2325 S Harvard, Tulsa, OK 74114 | 2012-09-12 |
| 1790034189 | Chesley Kate Watkins | Pharmacist | 2325 S Harvard, Tulsa, OK 74114-3300 | 2012-08-31 |
| 1366647471 | Hayley Elisabeth Alderman | Case Manager/Care Coordinator | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-06-19 |
| 1962606426 | Stephanie Jean Sands | Nurse's Aide | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-06-11 |
| 1477764017 | Jonathan Miles Phillips | Social Worker | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-05-25 |
| 1205040375 | Stacey Antoinette House Fields | Case Manager/Care Coordinator | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-05-09 |
| 1508082801 | Karen Lynn Heck | Registered Nurse | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-04-17 |
| 1316163611 | La Tonia Elaine Starks | Nurse's Aide | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760022412 | Rachel Henry | Marriage & Family Therapist | 5550 S Lewis Ave Ste 305, Tulsa, OK 74105-7118 | 2020-01-10 |
| 1992297196 | Catherine Elisabeth Wolf | Marriage & Family Therapist | 232 Sunset Dr, Tulsa, OK 74114-1240 | 2018-06-04 |
| 1558733642 | Jessica Osborn | Marriage & Family Therapist | 6206 S Sandusky Ave, Tulsa, OK 74136-1621 | 2015-10-28 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1730589979 | Hannah George | Marriage & Family Therapist | 1214 S Winston Ave, Tulsa, OK 74112-5237 | 2014-08-25 |
| 1821406620 | Audra Jean Brister | Marriage & Family Therapist | 7037 S Birmingham Ct, Tulsa, OK 74136-4322 | 2014-07-24 |
| 1659709103 | Keifer Counseling, Inc | Marriage & Family Therapist | 7502 S Trenton Pl, Tulsa, OK 74136-7338 | 2013-10-20 |
| 1548600273 | Whitney Chanel Doyeto | Marriage & Family Therapist | 4746 E 54th St Apt 253, Tulsa, OK 74135-6234 | 2013-06-26 |
| 1447695580 | Jordan Myles Holmes | Marriage & Family Therapist | 5011 S Toledo Ave, Apt 5n, Tulsa, OK 74135-3309 | 2013-05-02 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on MR. ERIC LEE VANDE BRAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.