Organization · Type 2 NPI

Reliance Mental Health Clinic

Family Medicine Physician · Bethany, OK

NPI number 1124705348 Active

Practice location

7415 NW 23rd St
Bethany, OK 73008-5135

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Addiction Medicine (Psychiatry & Neurology) Physician	2084A0401X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Bethany

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NPI record

NPI: 1124705348
Entity type: Organization (Type 2)
Issued: Jun 29, 2023
Last updated: Feb 5, 2026
Status: Active

Other names

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Reliance Mental Health and Functional Medicine · doing business as

Authorized official

Mrs. Nicoline Lami Edie, APRN, FNP-C, PMHNP-C
Owner
(405) 501-8806

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124705348

Reliance Mental Health Clinic's National Provider Identifier is 1124705348, issued on Jun 29, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bethany, OK. The record was last updated on Feb 5, 2026.