VALLIANT HOUSE, LLC (NPI# 1104030402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104030402 |
| Entity Type | Organization |
| Organization Name | VALLIANT HOUSE, LLC |
| Practice Address |
300 N. Dalton Ave Valliant OK 74764 |
| Mailing Address |
Po Box 673 Valliant OK 74764-0673 |
| Practice Telephone | 5809337031 |
| Practice Fax Number | 5809337034 |
| Mailing Telephone | 5809337031 |
| Mailing Fax Number | 5809337034 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | MRS. DIONNE FRANKUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5809337031 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
300 N. DALTON AVE |
| City | VALLIANT |
| State | OK |
| Zip Code | 74764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750595864 | Kelis Whisenhunt | Counselor | 300 N. Dalton Ave, Valliant, OK 74764 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003156571 | Paula Beard | Counselor | 701 Nation Rd, Valliant, OK 74764 | 2013-02-21 |
| 1437446127 | Essent Prmc, Lp | Clinic/Center | 514 East Wilson, Valliant, OK 74764 | 2011-07-01 |
| 1841456563 | Amy Causey | Counselor | 300 N Dalton Ave, Valliant, OK 74764 | 2008-08-01 |
| 1093979825 | Sabrina Johnson | Case Manager/Care Coordinator | 300 N Dalton Avenue, Valliant, OK 74764 | 2008-07-10 |
| 1437345105 | Shanna Renell Willoughby | Counselor | 300 N Dalton St, Valliant, OK 74764 | 2007-09-17 |
| 1477768125 | Frank Dewayne Coolbroth II | Counselor | 300 North Dalton, Valliant, OK 74764 | 2007-05-14 |
| 1447464623 | Dionnw Frankum | Counselor | 300 N. Dalton, Valliant, OK 74764 | 2007-05-09 |
| 1376757484 | Jason Baker | Counselor | 300 N. Dalton Avenue, Valliant, OK 74764 | 2007-05-09 |
| 1720118276 | Altis Beatrice Rutherford | Counselor | 300 N Dalton, Valliant, OK 74764 | 2007-03-06 |
| 1750470969 | Bolton Drug & Jewelry | Pharmacy | #3 N Dalton, Valliant, OK 74764 | 2006-10-12 |
| Find all providers in zip 74764 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063655025 | Sheri Holland | Substance Abuse Rehabilitation Facility | 300 N Dalton, Valliant, OK 74764 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301893 | Second Chance Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 4238 Ne 1st St, Pryor, OK 74361-9614 | 2020-06-24 |
| 1912551805 | Estelle Hawkins | Substance Abuse Rehabilitation Facility | 21227 N County Road 3350, Wynnewood, OK 73098-9356 | 2019-07-29 |
| 1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
| 1609223866 | Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment | Substance Abuse Rehabilitation Facility | 1760 Blevins Rd., Bennington, OK 74723 | 2016-05-18 |
| 1679938534 | Claudia Antoinette Parker | Substance Abuse Rehabilitation Facility | 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 | 2015-12-20 |
| 1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
| 1144627233 | Denise Evyonne Engram | Substance Abuse Rehabilitation Facility | 4723 S Ash Dr, Broken Arrow, OK 74011-3464 | 2014-12-04 |
| 1093127979 | Kimberly Ann Kelly-lorenz | Substance Abuse Rehabilitation Facility | 163 Mohawk Dr, Canadian, OK 74425-9747 | 2014-05-27 |
| 1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALLIANT HOUSE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.