# RELIANCE MENTAL HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reliance Mental Health and Functional Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124705348
- **Authorized official:** MRS. NICOLINE LAMI EDIE APRN, FNP-C, PMHNP-C (OWNER)
- **Authorized official phone:** (405) 501-8806

## Contact information

- **Practice address:** 7415 NW 23RD ST, BETHANY, OK 73008-5135
- **Practice address phone:** (405) 999-9999
- **Mailing address:** 7415 NW 23RD ST, BETHANY, OK 73008-5135
- **Mailing address phone:** (405) 501-8806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 02/05/2026