SOUTHERN ADDICTION AND BEHAVIORAL HEALTH SERVICES, LLC (NPI# 1023391000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023391000 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ADDICTION AND BEHAVIORAL HEALTH SERVICES, LLC |
| Practice Address |
9102 Barton Creek Dr Rowlett TX 75089-2637 |
| Practice Telephone | 2148026596 |
| Practice Fax Number | 8885020356 |
| Mailing Telephone | 2148026596 |
| Mailing Fax Number | 8885020356 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | DR. RICK PIPKIN (PRESIDENT & CEO) |
| Authorized Official Telephone | 2148026596 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
9878 | TX | Ambulatory Health Care Facilities |
| Street Address |
9102 BARTON CREEK DR |
| City | ROWLETT |
| State | TX |
| Zip Code | 75089-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710186259 | Rick Pipkin | Counselor | 9102 Barton Creek Dr, Rowlett, TX 75089-2637 | 2007-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022434 | Rowlett Tiny Teeth, Pllc | Dentist | 5404 Kenwood Drive, Rowlett, TX 75089 | 2020-04-24 |
| 1194292219 | Jacqueline G. Abraham | Physician Assistant | 9517 Fairway Vista Dr, Rowlett, TX 75089 | 2018-10-26 |
| 1487121810 | Eglorious, Inc. | Registered Nurse | 7314 Westhaven Dr., Rowlett, TX 75089 | 2018-10-24 |
| 1164901252 | Amber Saenz | Physical Therapist | 6706 Bluebell Dr, Rowlett, TX 75089 | 2018-08-09 |
| 1538544937 | Dallas Specialty Pharmacy,llc | Pharmacy | 5501 Gordon Smith, Suite 170, Rowlett, TX 75089 | 2015-07-27 |
| 1568782274 | Alix H. Sanders Jr. | Dentist | 7100 Rowlett Rd., Rowlett, TX 75089 | 2010-06-03 |
| 1174661318 | Anita Gaye Henrichson | Counselor | 9709 Peachtree Lane, Rowlett, TX 75089 | 2007-02-01 |
| 1689685133 | Mark Wayne Boren | Dentist | 7100 Rowlett Rd, Rowlett, TX 75089 | 2006-08-10 |
| 1750696803 | Care With Honor LLC | Community/Behavioral Health | 6114 San Marino Ct, Rowlett, TX 75089-0756 | 2010-08-13 |
| 1740423193 | A Time To Heal Health Care Services LLC | Home Health | 2713 Planetree Dr, Rowlett, TX 75089-1615 | 2009-04-15 |
| Find all providers in zip 75089 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1487263000 | Stay Young Mental Health & Wellness | Clinic/Center | 8209 Roughrider Dr Ste 210, Windcrest, TX 78239-2457 | 2020-07-29 |
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Please comment or provide details below to improve the information on SOUTHERN ADDICTION AND BEHAVIORAL HEALTH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.