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BRICOLAGE BEHAVIORAL HEALTH LLC NPI 1053877688


NPI Information

NPI: 1053877688
Provider Name: BRICOLAGE BEHAVIORAL HEALTH, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 45D2166188

Address:
3204 LONG PRAIRIE RD STE A
FLOWER MOUND, TX
ZIP 75022
Phone: (469) 968-5700
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BRICOLAGE BEHAVIORAL HEALTH, LLC is an adolescent and children mental health clinic center in Flower Mound, 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. BRICOLAGE BEHAVIORAL HEALTH, LLC NPI is 1053877688. The provider is registered as an organization entity type.

The provider's business location address is:

3204 LONG PRAIRIE RD STE A
FLOWER MOUND, TX
ZIP 75022-718
Phone: (469) 968-5700

The provider's authorized official is Charles Raab .
The authorized official title is Chief Financial Officer and has the following contact phone number (469) 968-5700.

The CLIA number assigned to this NPI record is 45D2166188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2019 and was last updated on 10/29/2020.


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
1261Q00000XClinic/CenterNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 5/5/2024

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