Organization
AMY BOTTOMLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BOTTOMLY LPC (OWNER)
(405) 361-9599
Entity
Organization
Contact information
Practice address
3233 E MEMORIAL RD, EDMOND, OK 73013-7082
(405) 361-9599
(405) 703-0645
Mailing address
4824 GREEN COUNTRY RD, EDMOND, OK 73034-0900
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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