ADDICTION BEHAVIORAL SERVICES NPI 1639805690

NPI Information

NPI: 1639805690
Provider Name: ADDICTION BEHAVIORAL SERVICES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3936 S HIGHWAY 287 STE 1
DECATUR, TX
ZIP 76234
Phone: (817) 905-9704
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ADDICTION BEHAVIORAL SERVICES is a rehabilitation and substance use disorder clinic center in Decatur, TX. ADDICTION BEHAVIORAL SERVICES NPI is 1639805690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3936 S HIGHWAY 287 STE 1
DECATUR, TX
ZIP 76234-076
Phone: (817) 905-9704

The provider's authorized official is Deborah Lynn Cashen-lusk .
The authorized official title is Executive Director / Ceo and has the following contact phone number (817) 905-9704.

The enumeration date for this NPI number is 8/1/2022 and was last updated on 1/5/2023.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1639805690	OTHER	TEXAS	MEDICAID

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

NPI Synchronization or Removal

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