Effective Therapy Community Support Services Limited Liability Company
Community/Behavioral Health in Irving, TX. Organization (NPI-2).
NPI number1043972599
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1043972599
- Entity type
- Organization (NPI-2)
- Legal business name
- Effective Therapy Community Support Services Limited Liability Company
- Organization subpart
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – |
Practice location
2300 Valley View Ln Ste 725Irving, TX 75062-5299
Phone 214-493-2313
Mailing address
212 BurberryGrand Prairie, TX 75052-0033
Phone 214-493-2313
Authorized official
Shameka Grant
Owner/Ceo
2144932313
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