Organization
DREAD NOT MAMMOTH LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN LPC, LADC (CLINIC DIRECTOR)
(940) 765-3687
Entity
Organization
Contact information
Practice address
1215 CROSSROADS BLVD STE 106, NORMAN, OK 73072-3334
(940) 765-3687
Mailing address
757 SW 13TH ST, MOORE, OK 73160-2685
(405) 248-0185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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