ORIGINS COUNSELING LLC NPI 1679116909

NPI Information

ORIGINS COUNSELING LLC is a substance abuse rehabilitation facility in Dallas, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ORIGINS COUNSELING LLC NPI is 1679116909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12810 HILLCREST RD STE B223
DALLAS, TX
ZIP 75230-525
Phone: (214) 817-4964
Fax: (210) 634-3961

The provider's authorized official is Sharmin Ashtaputre .
The authorized official title is Vp Of Revenue Mangement and has the following contact phone number (214) 817-4964.

The CLIA number assigned to this NPI record is 45D2186814 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 10/18/2019.

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:

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