NPIMap

Organization Active NPI

Valliant House, LLC

  • Substance Abuse Rehabilitation Facility
  • Valliant, OK
National Provider Identifier
1104030402
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VALLIANT HOUSE, LLC
Practice address
300 N. Dalton Ave
Valliant, OK 74764
Phone
(580) 203-3600
Fax
(833) 402-9799
NPI assigned
May 9, 2007
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Meredith, LPC, LADC
Title
Executive Director
Phone
(580) 212-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

300 N. Dalton Ave
Valliant, OK 74764

Mailing address

PO Box 673
Valliant, OK 74764-0673
Phone (580) 203-3600

National Provider Directory

National Provider Directory

Locations

6402 N Santa Fe Ave
Ste B
Oklahoma City, OK 73116
Phone (405) 570-4603

300 N Dalton St
Valliant, OK 74764
Phone (580) 203-3600

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1104030402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747640673",
            "telephone_number": "580-203-3600",
            "fax_number": "833-402-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N. DALTON AVE",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "74764",
            "telephone_number": "580-203-3600",
            "fax_number": "833-402-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLIANT HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-212-0625",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valliant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.