Circle Of Life Behavioral Solutions LLC
Case Management in Dallas, TX. Organization (NPI-2).
NPI number1457056541
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1457056541
- Entity type
- Organization (NPI-2)
- Legal business name
- Circle Of Life Behavioral Solutions LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1341 W Mockingbird Ln Ste 600wDallas, TX 75247-6904
Phone 832-906-0355
Mailing address
1341 W Mockingbird Ln Ste 600wDallas, TX 75247-6904
Phone 832-906-0355
Authorized official
Donald Joseph
Owner
8329060355
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