Healthcare Provider Details

I. General information

NPI: 1598286296
Provider Name (Legal Business Name): E & S VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 MARSHALL AVE
NORMAN OK
73072-8022
US

IV. Provider business mailing address

3280 MARSHALL AVE STE 100
NORMAN OK
73072-8022
US

V. Phone/Fax

Practice location:
  • Phone: 405-579-5858
  • Fax: 405-292-1787
Mailing address:
  • Phone: 405-579-5858
  • Fax: 405-292-1787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MELISSA RAE BELANGER
Title or Position: OWNER
Credential: DNP, APRN-CNP, PMHNP
Phone: 405-579-5858