NPIMap

Organization Active NPI

Reliance Mental Health Clinic

  • Family Medicine Physician
  • Bethany, OK
National Provider Identifier
1124705348
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RELIANCE MENTAL HEALTH CLINIC
Practice address
7415 NW 23Rd St
Bethany, OK 73008-5135
Phone
(405) 999-9999
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nicoline Lami Edie, APRN, FNP-C, PMHNP-CNPI 1992274724
Title
Owner
Phone
(405) 501-8806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X

Addresses

Primary practice location

7415 NW 23Rd St
Bethany, OK 73008-5135

Mailing address

7415 NW 23Rd St
Bethany, OK 73008-5135
Phone (405) 501-8806

Other names 1

  • Reliance Mental Health and Functional Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402000791 OK Part B Supplier - Clinic/Group Practice 9739527318 Receives reassigned benefits from 2 practitioners
Practice locations: Bethany, OK

National Provider Directory

National Provider Directory

Locations

7415 NW 23rd St
Bethany, OK 73008
Phone (405) 251-9959

5909 NW Expressway
Ste 245
Oklahoma City, OK 73132

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1124705348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085135",
            "telephone_number": "405-501-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085135",
            "telephone_number": "405-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "EDIE",
        "authorized_official_first_name": "NICOLINE",
        "authorized_official_middle_name": "LAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-501-8806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-C, PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliance Mental Health and Functional Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.