Provider Demographics
NPI:1962797159
Name:TEAGE BARCHUE, CAROLINE BROPLEH (M A/ BHRS)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:BROPLEH
Last Name:TEAGE BARCHUE
Suffix:
Gender:F
Credentials:M A/ BHRS
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:BROPLEH
Other - Last Name:TEAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA/BHRS
Mailing Address - Street 1:7219 S WALKER AVE APT 224
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-7640
Mailing Address - Country:US
Mailing Address - Phone:405-537-1231
Mailing Address - Fax:
Practice Address - Street 1:3621 N KELLEY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-4520
Practice Address - Country:US
Practice Address - Phone:405-524-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor