Healthcare Provider Details

I. General information

NPI: 1689629990
Provider Name (Legal Business Name): VALLEY OAKS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N 26TH STREET SUITE 201
LAFAYETTE IN
47904-2856
US

IV. Provider business mailing address

415 N 26TH STREET SUITE 201
LAFAYETTE IN
47904-2856
US

V. Phone/Fax

Practice location:
  • Phone: 765-446-6535
  • Fax: 765-446-6536
Mailing address:
  • Phone: 765-446-6535
  • Fax: 765-446-6536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DANIEL J ARENS
Title or Position: CEO
Credential:
Phone: 765-446-6535