Life Psychiatric Clinic Pllc
LBN: Life Psychiatric Clinic Pllc
Life Psychiatric Clinic Pllc is an health care organization with primary practice located at 609 S Kelly Ave Ste B2 , Edmond OK 73003-5725. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Life Psychiatric Clinic Pllc can be contacted via phone (405) 724-6871, or through Thomas, Mebin Babu via phone (405) 414-9139.
Contact Information
Primary practice address
609 S Kelly Ave Ste B2
Edmond OK 73003-5725
Phone: (405) 724-6871
Fax: (405) 726-0423
Website:
Authorized official contact:
Name: Thomas, Mebin Babu Physician's Assistant Certified (PA-C)
Phone: (405) 414-9139
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1427722370 |
|---|---|
| LBN Legal business name | Life Psychiatric Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Thomas, Mebin Babu Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2021 |
| Last updated | Apr 12th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427722370 | NPPES |
| Oklahoma | MEDICAID | 201012720A |
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