MENTAL EDGE LLC NPI 1780057745

NPI Information

NPI: 1780057745
Provider Name: MENTAL EDGE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
8722 GREENVILLE AVE
SUITE 102
DALLAS, TX
ZIP 75243
Phone: (214) 466-7222
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MENTAL EDGE LLC is a health service clinic center in Dallas, TX. MENTAL EDGE LLC NPI is 1780057745. The provider is registered as an organization entity type.

The provider's business location address is:

8722 GREENVILLE AVE
SUITE 102
DALLAS, TX
ZIP 75243-167
Phone: (214) 466-7222
Fax: (214) 466-7220

The provider's authorized official is Brian Michael Ratzer .
The authorized official title is Owner and has the following contact phone number (214) 466-7222.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 11/12/2015.

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	261QH0100X	Clinic/Center	Health Service		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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