RED BIRD EDUCATION PROGRAMS NPI 1336417427

NPI Information

NPI: 1336417427
Provider Name: RED BIRD EDUCATION PROGRAMS
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 45D2226554

Address:
4549 S WESTMORELAND RD
DALLAS, TX
ZIP 75237
Phone: (214) 287-3501
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RED BIRD EDUCATION PROGRAMS is an addiction (substance use disorder) counselor in Dallas, TX. RED BIRD EDUCATION PROGRAMS NPI is 1336417427. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4549 S WESTMORELAND RD
DALLAS, TX
ZIP 75237-015
Phone: (214) 287-3501
Fax: (214) 623-0322

The provider's authorized official is Mark Conal O'neal .
The authorized official title is Ceo and has the following contact phone number (214) 475-3712.

The CLIA number assigned to this NPI record is 45D2226554 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 11/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	8925	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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