PRESTIGE HEALTH LLC NPI 1538981691

NPI Information

  • NPI: 1538981691
  • Provider Name: PRESTIGE HEALTH LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4312 S MALCOLM X BLVD
    DALLAS, TX
    ZIP 75215
  • Phone: (469) 844-5325

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NPI Details

PRESTIGE HEALTH LLC is a mental health (including community mental health center) clinic center in Dallas, TX. PRESTIGE HEALTH LLC NPI is 1538981691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4312 S MALCOLM X BLVD
DALLAS, TX
ZIP 75215-307
Phone: (469) 844-5325
Fax: (214) 602-2687

The provider's authorized official is Whitney Stovall .
The authorized official title is Cfo and has the following contact phone number (469) 844-5325.

The enumeration date for this NPI number is 10/29/2024 and was last updated on 12/4/2024.

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
1103K00000XBehavior AnalystNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QR0800XClinic/CenterRecovery CareNo

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: 3/30/2025

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