| H Carmen LLC | |
|
4309 Cannon Dr Norman OK 73072-6503 | |
| (405) 659-2014 | |
| Not Available |
| Full Name | H Carmen LLC |
|---|---|
| Speciality | Counselor |
| Location | 4309 Cannon Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Holly K Carmen (OWNER) |
| Authorized Official Contact | 4056592014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H Carmen LLC 4309 Cannon Dr Norman OK 73072-6503 Ph: (405) 659-2014 | H Carmen LLC 4309 Cannon Dr Norman OK 73072-6503 Ph: (405) 659-2014 |
| NPI Number | 1720886492 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/06/2025 |
| Medicare PECOS PAC ID | 7214450758 |
|---|---|
| Medicare Enrollment ID | O20250326000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720886492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Holly Carmen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023562287 PECOS PAC ID: 3274984083 Enrollment ID: I20240105002079 |
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