OrganizationActive
Innovative Behavioral Health LLC
NPI 1649637422 · Community/Behavioral Health Agency · Sallisaw, OK
Provider details
- NPI number
- 1649637422
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- David Bourne, Owner(479) 461-5275
- License
- 4216 (OK)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2370 S Kerr Blvd
Sallisaw, OK 74955-7031
Phone: (479) 461-5275
Street-level locationGet directions
Mailing address
3308 S 54th St
Fort Smith, AR 72903-4617
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2016-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.