Brandy Susana Lee | Tulsa, OK • PECOS Search

Brandy Susana Lee

Social Worker

Behavioral Health & Social Service Providers

7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743

(918) 492-2554 (918) 407-1848

PECOS Enrollment

Based on the most recent information from CMS, provider Brandy Susana Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1174715403
Provider Type
Individual
Full Name
Lee, Brandy Susana
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/10/2007
Last Updated
8/10/2007

Contact Information

Practice Location

7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743

(918) 494-9870

Mailing Location

8404 N 136th East Ave, Apt # 206, Owasso, OK 74055-8449

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer