Amy Bottomly LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Edmond, OK. Organization (NPI-2).
NPI number1710798681
StatusActive
Last updated in NPPESJan 18, 2025
Details
- NPI
- 1710798681
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Bottomly LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2025
- Certification date
- Jan 18, 2025
- Last updated
- Jan 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
3233 E Memorial RdEdmond, OK 73013-7082
Phone 405-361-9599 · Fax 405-703-0645
Mailing address
4824 Green Country RdEdmond, OK 73034-0900
Authorized official
Amy Bottomly
Owner
4053619599
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