| Nichole Mentzer Lcsw Pllc | |
|
1745 Nw 16th St Ste A Oklahoma City OK 73106-2067 | |
| (405) 201-0620 | |
| (405) 364-5379 |
| Full Name | Nichole Mentzer Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1745 Nw 16th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Nichole M Mentzer (MANAGING MEMBER) |
| Authorized Official Contact | 4052010620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Mentzer Lcsw Pllc 419 W Gray St Norman OK 73069-7117 Ph: (405) 329-7300 | Nichole Mentzer Lcsw Pllc 1745 Nw 16th St Ste A Oklahoma City OK 73106-2067 Ph: (405) 201-0620 |
| NPI Number | 1487008736 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 04/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487008736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5444 (Oklahoma) | Primary |
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