PANACEA THERAPY GROUP, LLC
NPI 1306458492
Counselor - Mental Health in Edmond, OK
Active since August 19, 2020
About Panacea Therapy Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANACEA THERAPY GROUP, LLC (NPI 1306458492) is a healthcare organization registered as a mental health in Edmond, Oklahoma and active in the NPI registry since August 2020. The organization lists Chad Thomas Mccoy, Owner, as its authorized official.
NPPES Registry Identity
NPI1306458492
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePANACEA THERAPY GROUP, LLC
Location Address1015 WATERWOOD PKWY STE G-M1Edmond, OK 73034-5370
Mailing Address1015 Waterwood Pkwy Ste G-m1Edmond, OK 73034-5370 · (405) 513-0282
Phone(405) 513-0282
Organization SubpartNo
Authorized OfficialChad Thomas MccoyOwner · (405) 513-0282
Enumeration DateAugust 19, 2020
Last NPPES UpdateOctober 3, 20202 updates tracked since enumeration
NPPES CertifiedOctober 3, 2020
✔ NPI 1306458492 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1015 WATERWOOD PKWY STE G-M1, Edmond, OK 73034
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306458492, enumerated as an "organization" on August 19, 2020.
The provider is located at 1015 WATERWOOD PKWY STE G-M1 EDMOND, OK 73034 and the phone number is (405) 513-0282.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
