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PANACEA THERAPY GROUP, LLC
NPI 1306458492
Counselor - Mental Health in Edmond, OK

Active since August 19, 2020
1015 WATERWOOD PKWY STE G-M1, EDMOND, OK 73034(405) 513-0282 Get Directions Write a Review

NPPES record last updated: October 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2020, Aug 19, 2020 (2 updates tracked since 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
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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 NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAD MCCOY M.A.
Counselor (Mental Health)
1015 WATERWOOD PKWY STE G-M1
EDMOND, OK 73034
Oklahoma County (405) 513-0282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panacea Therapy Group, LLC's NPI number?

The NPI number for Panacea Therapy Group, LLC is 1306458492. It was assigned to this organization in the NPPES registry on August 19, 2020.

Where is Panacea Therapy Group, LLC located?

Panacea Therapy Group, LLC is located at 1015 Waterwood Pkwy Ste G-M1, Edmond, OK 73034. The listed phone number is (405) 513-0282.

What is Panacea Therapy Group, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Panacea Therapy Group, LLC was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.