Provider Demographics
NPI:1578821062
Name:ABOVE ALL BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ABOVE ALL BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PLUNKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-455-5312
Mailing Address - Street 1:1390 S DOUGLAS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5270
Mailing Address - Country:US
Mailing Address - Phone:405-455-5312
Mailing Address - Fax:405-455-5279
Practice Address - Street 1:1390 S DOUGLAS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5270
Practice Address - Country:US
Practice Address - Phone:405-455-5312
Practice Address - Fax:405-455-5279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4638251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health