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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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