CHARIS BEHAVIORAL HEALTH LLC NPI 1124664123

NPI Information

NPI: 1124664123
Provider Name: CHARIS BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 45D2181768

Address:
250 W SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092
Phone: (469) 578-2529
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CHARIS BEHAVIORAL HEALTH LLC is a mental health (including community mental health center) clinic center in Southlake, TX. CHARIS BEHAVIORAL HEALTH LLC NPI is 1124664123. The provider is registered as an organization entity type.

The provider's business location address is:

250 W SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092-171
Phone: (469) 578-2529

The provider's authorized official is Cosalyn Young .
The authorized official title is Business Operations Director and has the following contact phone number (817) 997-4525.

The CLIA number assigned to this NPI record is 45D2181768 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2019 and was last updated on 1/6/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	283Q00000X	Psychiatric Hospital		No

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: 5/5/2024

NPI Synchronization or Removal

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