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METROCARE NPI 1699021089


NPI Information

NPI: 1699021089
Provider Name: METROCARE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 45D2126767

Address:
3330 S LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (214) 371-0474
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METROCARE is a community behavioral health in Dallas, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. METROCARE NPI is 1699021089. The provider is registered as an organization entity type.

The provider's business location address is:

3330 S LANCASTER RD
DALLAS, TX
ZIP 75216-531
Phone: (214) 371-0474
Fax: (214) 371-3933

The provider's authorized official is Lazane Sherilyn Walls .
The authorized official title is Clinical Manager Iii and has the following contact phone number (972) 861-5917.

The CLIA number assigned to this NPI record is 45D2126767 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health8802TEXASNo
2251S00000XCommunity/Behavioral Health15910TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10291080-03MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.