| Gilead Telepsych, Llc | |
|
200 Vicksburg Ave Apt M2 Norman OK 73071-2479 | |
| (405) 310-7590 | |
| Not Available |
| Full Name | Gilead Telepsych, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Vicksburg Ave Apt M2, Norman, Oklahoma |
| Authorized Official Name and Position | Magdaline Epie (APRN) |
| Authorized Official Contact | 2405513447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Telepsych, Llc 6908 Strathmore St Apt 316 Chevy Chase MD 20815-6224 Ph: () - | Gilead Telepsych, Llc 200 Vicksburg Ave Apt M2 Norman OK 73071-2479 Ph: (405) 310-7590 |
| NPI Number | 1912642208 |
|---|---|
| Provider Enumeration Date | 05/01/2022 |
| Last Update Date | 05/01/2022 |
| Certification Date | 05/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912642208 | NPI | - | NPPES |
| 200898000A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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