Miner, Mandy Lynn
Miner, Mandy Lynn is an individual health care provider with primary practice located at 2548 E Kenosha St , Broken Arrow OK 74014-6712. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Miner, Mandy Lynn can be contacted via phone (918) 382-7300.Contact Information
Primary practice address
2548 E Kenosha St
Broken Arrow OK 74014-6712
Phone: (918) 382-7300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-23-2964 | Oregon |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 316485 | Oklahoma |
Other Service Providers / Peer Specialist | 175T00000X | Oregon |
Profile Details
NPI number | 1730735028 |
---|---|
LBN Legal business name | Miner, Mandy Lynn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2019 |
Last updated | Jul 12th, 2024 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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