Provider Demographics
NPI:1467120303
Name:HALCYON BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:HALCYON BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-670-0370
Mailing Address - Street 1:4041 NW HODGES RD
Mailing Address - Street 2:
Mailing Address - City:SILVER LAKE
Mailing Address - State:KS
Mailing Address - Zip Code:66539-9451
Mailing Address - Country:US
Mailing Address - Phone:785-670-0370
Mailing Address - Fax:
Practice Address - Street 1:4041 NW HODGES RD
Practice Address - Street 2:
Practice Address - City:SILVER LAKE
Practice Address - State:KS
Practice Address - Zip Code:66539-9451
Practice Address - Country:US
Practice Address - Phone:785-670-0370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)