MEDICARE: MAMMOTH INSIGHT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1164145322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAMMOTH INSIGHT LLC

Provider Business Mailing Address
First Line	:	701 CEDAR LAKE BLVD STE 134
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7816
Country	:	US
Telephone Number	:	405-388-2339
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 CEDAR LAKE BLVD STE 134
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7816
Country	:	US
Telephone Number	:	405-388-2339
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA D SAUVILLER
Credential	:	LPC
Telephone Number	:	405-388-2339

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	04/08/2026

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Directions to “MAMMOTH INSIGHT LLC ” Practice Location

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