| Echota Behavioral Health Services, Llc | |
|
213 Avalon Dr Vian OK 74962 | |
| (918) 539-9770 | |
| Not Available |
| Full Name | Echota Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 213 Avalon Dr, Vian, Oklahoma |
| Authorized Official Name and Position | Jennifer Leigh Leep (DIRECTOR) |
| Authorized Official Contact | 9183161468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echota Behavioral Health Services, Llc Po Box 1245 Tahlequah OK 74465-1245 Ph: (918) 936-4295 | Echota Behavioral Health Services, Llc 213 Avalon Dr Vian OK 74962 Ph: (918) 539-9770 |
| NPI Number | 1376352385 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376352385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pavilion Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99855 Highway 82, Vian, OK 74962 Phone: 479-353-2368 |