Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr

LBN: Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr
Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr is an health care organization with primary practice located at 2615 S Lancaster Rd , Dallas TX 75216-3112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr can be contacted via phone (214) 376-7388, or through Henderson, Lakisha via phone (469) 360-6794.

Contact Information

Primary practice address
2615 S Lancaster Rd Dallas TX 75216-3112
Phone: (214) 376-7388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Lakisha
Phone: (469) 360-6794

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 1000045 Texas

Profile Details

NPI number 1821419201
LBN Legal business name Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr
DBA Doing business as
Authorized official Henderson, Lakisha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2014
Last updated May 29th, 2020 - about 5 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

Identifiers

StateTypeNumberIssuer
All States NPI 1821419201 NPPES
Texas Other 1000045 PERMIT

Popular Providers