Provider Demographics
NPI:1770455008
Name:SKYE HORIZON MENTAL HEALTH LLC
Entity type:Organization
Organization Name:SKYE HORIZON MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:PETTIT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:918-882-0444
Mailing Address - Street 1:PO BOX 140178
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-0002
Mailing Address - Country:US
Mailing Address - Phone:918-882-0444
Mailing Address - Fax:918-882-0555
Practice Address - Street 1:3104 S ELM PL STE J-K
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7949
Practice Address - Country:US
Practice Address - Phone:918-882-0444
Practice Address - Fax:918-882-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty