Gifted Souls Mental Health Community Center Llc

LBN: Gifted Souls Mental Health Community Center Llc
Gifted Souls Mental Health Community Center Llc is an health care organization with primary practice located at 17480 Dallas Pkwy Ste 213 , Dallas TX 75287-7304. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Gifted Souls Mental Health Community Center Llc can be contacted via phone (469) 510-4291, or through Mayo, Andre via phone (469) 510-4291.

Contact Information

Primary practice address
17480 Dallas Pkwy Ste 213 Dallas TX 75287-7304
Phone: (469) 510-4291
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mayo, Andre
Phone: (469) 510-4291

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1508456047
LBN Legal business name Gifted Souls Mental Health Community Center Llc
DBA Doing business as
Authorized official Mayo, Andre
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2021
Last updated May 23rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers