| Mammoth Insight Llc | |
| 
					701 Cedar Lake Blvd Ste 134 Oklahoma City OK 73114-7816  | |
| (405) 388-2339 | |
| Not Available | 
| Full Name | Mammoth Insight Llc | 
|---|---|
| Speciality | Counselor | 
| Location | 701 Cedar Lake Blvd Ste 134, Oklahoma City, Oklahoma | 
| Authorized Official Name and Position | Amanda D Sauviller (OWNER) | 
| Authorized Official Contact | 4053882339 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mammoth Insight Llc 701 Cedar Lake Blvd Ste 134 Oklahoma City OK 73114-7816 Ph: (405) 388-2339  | Mammoth Insight Llc 701 Cedar Lake Blvd Ste 134 Oklahoma City OK 73114-7816 Ph: (405) 388-2339  | 
| NPI Number | 1164145322 | 
|---|---|
| Provider Enumeration Date | 09/22/2022 | 
| Last Update Date | 10/16/2023 | 
| Certification Date | 10/16/2023 | 
| Medicare PECOS PAC ID | 9436590247 | 
|---|---|
| Medicare Enrollment ID | O20240510001976 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164145322 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary | 
| Provider Name | Amanda Sauviller | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1316597040 PECOS PAC ID: 5991146979 Enrollment ID: I20240508000635  | 
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