Dreaming Leaves, Pllc | |
15301 Crown At Lone Oak Rd Ste B3 Edmond OK 73013-2273 | |
(405) 200-1021 | |
Not Available |
Full Name | Dreaming Leaves, Pllc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 15301 Crown At Lone Oak Rd Ste B3, Edmond, Oklahoma |
Authorized Official Name and Position | Chance Typ Whinnery (FOUNDER/MANAGER) |
Authorized Official Contact | 4052001021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dreaming Leaves, Pllc 15301 Crown At Lone Oak Rd Ste B3 Edmond OK 73013-2273 Ph: (405) 200-1021 | Dreaming Leaves, Pllc 15301 Crown At Lone Oak Rd Ste B3 Edmond OK 73013-2273 Ph: (405) 200-1021 |
NPI Number | 1720832371 |
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Provider Enumeration Date | 04/11/2024 |
Last Update Date | 07/02/2024 |
Certification Date | 07/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720832371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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