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Organization
GILEAD TELEPSYCH, LLC
Active
Organization
GILEAD TELEPSYCH, LLC
Active
Parent organization
GILEAD TELEHEALTH PLLC
Other names
Gilead Telepsych, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GILEAD TELEHEALTH PLLC
Authorized official
MISS MAGDALINE EPIE PMHNP (APRN)
(240) 551-3447
Entity
Organization
Contact information
Practice address
200 VICKSBURG AVE APT M2, NORMAN, OK 73071-2479
(405) 310-7590
Mailing address
6908 STRATHMORE ST APT 316, CHEVY CHASE, MD 20815-6224
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200898000A
—
OK
Enumeration date
05/01/2022
Last updated
05/01/2022
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