Provider Demographics
NPI:1619695426
Name:APOLLO BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:APOLLO BEHAVIORAL HEALTH, LLC
Other - Org Name:ZION HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-856-6966
Mailing Address - Street 1:1111 MAGNOLIA CT STE 205
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-1391
Mailing Address - Country:US
Mailing Address - Phone:405-449-5519
Mailing Address - Fax:
Practice Address - Street 1:1111 MAGNOLIA CT
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-1386
Practice Address - Country:US
Practice Address - Phone:405-856-6966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health