CONVALESCE
NPI 1639524994
Community/Behavioral Health in Moore, OK
- Organization
- Community/Behavioral Health
About CONVALESCE
This page provides the complete NPI Profile along with additional information for Convalesce, a provider established in Moore, Oklahoma operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639524994 assigned on April 2016. The practitioner's primary taxonomy code is 251S00000X with license number 5734 (OK). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Christiane Lange Ms/lpc (Clinical Director)
- NPI
- 1639524994 Verify this NPI
- Provider Name
- CONVALESCE
- Entity Type
- Organization
- Location Address
- 626 N BROADWAY ST MOORE, OK 73160
- Location Phone
- (405) 430-8917
- Mailing Address
- 626 N BROADWAY ST MOORE, OK 73160
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2016
- Last Update Date
- 04-25-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 5734
- License State
- OK
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MOORE, OK 73160
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639524994, enumerated as an "organization" on April 25, 2016.
The provider is located at 626 N BROADWAY ST MOORE, OK 73160 and the phone number is (405) 430-8917.
Community/Behavioral Health with taxonomy code 251S00000X.
