I360 LIFE DEVELOPMENT LLC NPI 1134685993

NPI Information

NPI: 1134685993
Provider Name: I360 LIFE DEVELOPMENT, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6600 LBJ FWY STE 240
DALLAS, TX
ZIP 75240
Phone: (214) 533-5640
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I360 LIFE DEVELOPMENT, LLC is a mental health (including community mental health center) clinic center in Dallas, TX. I360 LIFE DEVELOPMENT, LLC NPI is 1134685993. The provider is registered as an organization entity type.

The provider's business location address is:

6600 LBJ FWY STE 240
DALLAS, TX
ZIP 75240-550
Phone: (214) 533-5640

The provider's authorized official is Desi Jensen .
The authorized official title is Office Administrator and has the following contact phone number (469) 422-1262.

The enumeration date for this NPI number is 2/18/2019 and was last updated on 2/18/2019.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/14/2023

NPI Synchronization or Removal

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