Organization
INNOVATIVE BEHAVIORAL HEALTH LLC
Active
Organization
INNOVATIVE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BOURNE LPC (OWNER)
(479) 461-5275
Entity
Organization
Contact information
Practice address
2370 S KERR BLVD, SALLISAW, OK 74955-7031
(479) 461-5275
Mailing address
3308 S 54TH ST, FORT SMITH, AR 72903-4617
(479) 461-5275
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4216
OK
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up