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General NPI Number Information
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NPI Number | 1770455008
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Entity Type | Organization
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Legal Business Name | SKYE HORIZON MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 3104 S ELM PL STE J-K
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City | BROKEN ARROW
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State | OK
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Zip | 74012-7949
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Country | US
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Telephone | 918-882-0444
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Fax | 918-882-0555
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Provider Business Mailing Address
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Address Line | PO BOX 140178
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City | BROKEN ARROW
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State | OK
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Zip | 74014-0002
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Country | US
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Telephone | 918-882-0444
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Fax | 918-882-0555
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SHARI PETTIT
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Credential | APRN, PMHNP-BC
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Telephone | 918-882-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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