Provider Demographics
NPI:1831921071
Name:GILLANI, ERAM (LMSW-P)
Entity type:Individual
Prefix:
First Name:ERAM
Middle Name:
Last Name:GILLANI
Suffix:
Gender:F
Credentials:LMSW-P
Other - Prefix:
Other - First Name:ERUM
Other - Middle Name:
Other - Last Name:GILLANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:621 RIVERMONT CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4839
Mailing Address - Country:US
Mailing Address - Phone:405-875-6574
Mailing Address - Fax:
Practice Address - Street 1:1008 24TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6369
Practice Address - Country:US
Practice Address - Phone:405-310-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker