Individual provider · Type 1 NPI

Theresa Marceles Connelly

Mental Health Clinic/Center (Including Community Mental Health Center) · Midwest City, OK

NPI number 1497011217 Active

Practice location

351 N Air Depot Blvd, Suite S
Midwest City, OK 73110-1700

Call (405) 610-6540 Map

Mailing address

5613 N Hiwassee Rd
Spencer, OK 73084-9413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1497011217

Theresa Marceles Connelly's National Provider Identifier is 1497011217, issued on Apr 5, 2012. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Midwest City, OK. The record was last updated on Apr 5, 2012.