TRACIE ELLEN ANGELLY NPI 1194881276

NPI Information

  • NPI: 1194881276
  • Provider Name: TRACIE ELLEN ANGELLY
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: TEXAS FREEDOM
  • Address: 411 BRUMBELOW RD
    WHITT, TX
    ZIP 76490
  • Phone: (940) 859-1955

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NPI Details

TRACIE ELLEN ANGELLY is a community based residential treatment facility, intellectual and/or developmental disabilities in Whitt, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. TRACIE ELLEN ANGELLY NPI is 1194881276. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Freedom.

The provider's business location address is:

411 BRUMBELOW RD
WHITT, TX
ZIP 76490-306
Phone: (940) 859-1955
Fax: (940) 798-4412

The provider's authorized official is Tracie Ellen Angelly .
The authorized official title is Administrator and has the following contact phone number (940) 859-1955.

The enumeration date for this NPI number is 12/31/2006 and was last updated on 8/22/2020.

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 License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASYes

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: 11/21/2025

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