SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC NPI 1396973772

NPI Information

NPI: 1396973772
Provider Name: SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4215 GANNON LN
DALLAS, TX
ZIP 75237
Phone: (972) 283-9090
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SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC is a mental health (including community mental health center) clinic center in Dallas, TX. SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC NPI is 1396973772. The provider is registered as an organization entity type.

The provider's business location address is:

4215 GANNON LN
DALLAS, TX
ZIP 75237-914
Phone: (972) 283-9090
Fax: (972) 499-0367

The provider's authorized official is Rolanda Williams .
The authorized official title is Chief Operating Officer and has the following contact phone number (972) 283-9090.

The enumeration date for this NPI number is 6/24/2009 and was last updated on 8/14/2020.

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	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	251B00000X	Case Management		No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	207952702	MEDICAID	TEXAS

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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