| Healing Designs Pllc | |
|
2529 S Kelly Ave Ste C Edmond OK 73013-2976 | |
| (405) 496-7779 | |
| Not Available |
| Full Name | Healing Designs Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2529 S Kelly Ave Ste C, Edmond, Oklahoma |
| Authorized Official Name and Position | Cynthia Lou Sewell (OWNER) |
| Authorized Official Contact | 4054967779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Designs Pllc 2705 Nw 163rd St Edmond OK 73013-1277 Ph: (405) 496-7779 | Healing Designs Pllc 2529 S Kelly Ave Ste C Edmond OK 73013-2976 Ph: (405) 496-7779 |
| NPI Number | 1336610294 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 3779820758 |
|---|---|
| Medicare Enrollment ID | O20190129002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336610294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Sewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518241769 PECOS PAC ID: 2365749298 Enrollment ID: I20160321001561 |
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