INNOVATIVE BEHAVIORAL HEALTH LLC
NPI 1649637422
Community/Behavioral Health in Sallisaw, OK
- Organization
- Community/Behavioral Health
About INNOVATIVE BEHAVIORAL HEALTH LLC
This page provides the complete NPI Profile along with additional information for Innovative Behavioral Health Llc, a provider established in Sallisaw, Oklahoma operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1649637422 assigned on January 2016. The practitioner's primary taxonomy code is 251S00000X with license number 4216 (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 David Bourne Lpc (Owner)
- NPI
- 1649637422 Verify this NPI
- Provider Name
- INNOVATIVE BEHAVIORAL HEALTH LLC
- Entity Type
- Organization
- Location Address
- 2370 S KERR BLVD SALLISAW, OK 74955
- Location Phone
- (479) 461-5275
- Mailing Address
- 3308 S 54TH ST FORT SMITH, AR 72903
- Mailing Phone
- (479) 461-5275
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2016
- Last Update Date
- 01-25-2016
- 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.
- 4216
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649637422, enumerated as an "organization" on January 25, 2016.
The provider is located at 2370 S KERR BLVD SALLISAW, OK 74955 and the phone number is (479) 461-5275.
Community/Behavioral Health with taxonomy code 251S00000X.
