| Mammoth Insight Llc | |
|
701 Cedar Lake Blvd Ste 134 Oklahoma City OK 73114-7816 | |
| (405) 388-2339 | |
| Not Available |
| Full Name | Mammoth Insight Llc |
|---|---|
| Speciality | Counselor |
| Location | 701 Cedar Lake Blvd Ste 134, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Amanda D Sauviller (OWNER) |
| Authorized Official Contact | 4053882339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mammoth Insight Llc 701 Cedar Lake Blvd Ste 134 Oklahoma City OK 73114-7816 Ph: (405) 388-2339 | Mammoth Insight Llc 701 Cedar Lake Blvd Ste 134 Oklahoma City OK 73114-7816 Ph: (405) 388-2339 |
| NPI Number | 1164145322 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 9436590247 |
|---|---|
| Medicare Enrollment ID | O20240510001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164145322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amanda Sauviller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316597040 PECOS PAC ID: 5991146979 Enrollment ID: I20240508000635 |
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