Healthcare Provider Details

I. General information

NPI: 1477470102
Provider Name (Legal Business Name): SAMANTHA NAOMI RELERFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 UNITED FOUNDERS BLVD STE 124
OKLAHOMA CITY OK
73112-4292
US

IV. Provider business mailing address

3000 UNITED FOUNDERS BLVD STE 124
OKLAHOMA CITY OK
73112-4292
US

V. Phone/Fax

Practice location:
  • Phone: 405-636-0455
  • Fax: 405-708-6172
Mailing address:
  • Phone: 405-636-0455
  • Fax: 405-708-6172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: