Greenside Prairies LLC

NPI #1770466682 in Edmond, Oklahoma

Provider Information

NPI Number
1770466682
Entity Type
Organization
Organization Name
Greenside Prairies LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jul 28, 2025
Last Updated
Jul 28, 2025

Practice Location

Address
3104 NW 184TH ST
City
Edmond
ZIP Code
73012-9650
Phone
(405) 265-6142

Authorized Official

Name
ADAM DANIEL, LCSW
Title
OWNER/OPERATOR
Phone
(405) 265-6142

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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