Provider Demographics
NPI:1649088568
Name:BEHAVIORAL HEALTH INNOVATIONS, LLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:EARL
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, LPC
Authorized Official - Phone:405-609-4288
Mailing Address - Street 1:4228 WILLOWPOINT DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4912
Mailing Address - Country:US
Mailing Address - Phone:405-609-4288
Mailing Address - Fax:
Practice Address - Street 1:4228 WILLOWPOINT DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4912
Practice Address - Country:US
Practice Address - Phone:405-609-4288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health