Premier Behavioral Health & Therapeutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIER BEHAVIORAL HEALTH & THERAPEUTIC SERVICES

Practice address

3700 N Classen Blvd
C35
Oklahoma City, OK 73118-2872

Phone

(405) 606-8883

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Qwannah TarletonNPI 1952620213

Title

Co-Owner

Phone

(405) 365-4275

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Qwannah Lache' Tarleton, M.H.R. LPC, U.S.

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1952620213
  NPD (past) Authorized official
• Krystal Fowler

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
  • NPI 1124774302
  NPD (past)
• Gelia Johnson

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1952921587
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1396183448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N CLASSEN BLVD",
            "address_2": "C35",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182872",
            "telephone_number": "405-606-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N CLASSEN BLVD",
            "address_2": "C35",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182872",
            "telephone_number": "405-606-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL HEALTH & THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "TARLETON",
        "authorized_official_first_name": "QWANNAH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-365-4275"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Wellness P.L.L.C.
• Preisz McMillin Clinic Inc
• Melvyn Preisz, PH.D
• Premier Anesthesia Inc
• Premier Anesthesia of Oklahoma City
• Premier Breast Health Institute of Oklahoma LLC
• Premier Dentistry P.C.
• Premier Drug, LLC
• Premier Healthcare, Aprn-CNP, PC
• Premier Hearing Care, LLC

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.