Healthcare Provider Details

I. General information

NPI: 1750155859
Provider Name (Legal Business Name): SIMPLYCALM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2133 E 2ND ST APT 5208
EDMOND OK
73034-1809
US

IV. Provider business mailing address

2133 E 2ND ST APT 5208
EDMOND OK
73034-1809
US

V. Phone/Fax

Practice location:
  • Phone: 888-789-2256
  • Fax:
Mailing address:
  • Phone: 888-789-2256
  • Fax: 888-404-1909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN K ELROD
Title or Position: MEMBER MANAGER
Credential: MSN, PMHNP-BC
Phone: 405-609-0987