Provider Demographics
NPI:1225110539
Name:BLUE SKY BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:BLUE SKY BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:CMII
Authorized Official - Phone:918-681-1113
Mailing Address - Street 1:PO BOX 2547
Mailing Address - Street 2:502 EAST CINCINNATI AVENUE,
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74402-2547
Mailing Address - Country:US
Mailing Address - Phone:918-681-1113
Mailing Address - Fax:918-681-1116
Practice Address - Street 1:502 E CINCINNATI AVE
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-5535
Practice Address - Country:US
Practice Address - Phone:918-681-1113
Practice Address - Fax:918-681-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100708360BMedicaid