LIVE YOUNG PA NPI 1497137830

NPI Information

NPI: 1497137830
Provider Name: LIVE YOUNG, PA
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7515 GREENVILLE AVE
SUITE 1005
DALLAS, TX
ZIP 75231
Phone: (214) 369-8717
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LIVE YOUNG, PA is an adult mental health clinic center in Dallas, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIVE YOUNG, PA NPI is 1497137830. The provider is registered as an organization entity type.

The provider's business location address is:

7515 GREENVILLE AVE
SUITE 1005
DALLAS, TX
ZIP 75231-831
Phone: (214) 369-8717
Fax: (214) 369-7937

The provider's authorized official is Jordan Pastorek .
The authorized official title is Founder and has the following contact phone number (214) 369-8717.

The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.

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	261QM0850X	Clinic/Center	Adult Mental Health	M1286	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: 11/14/2023

NPI Synchronization or Removal

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