MARK R DEHART (NPI# 1386157790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386157790 |
| Entity Type | Individual |
| Full Name | MARK R DEHART |
| Credential | LCDC |
| Practice Address |
801 Road To Six Flags W Ste 132 Arlington TX 76012-2600 |
| Mailing Address |
3001a W 5th St Fort Worth TX 76107-2206 |
| Practice Telephone | 8177953030 |
| Practice Fax Number | 8177953099 |
| Mailing Telephone | 8173380311 |
| Mailing Fax Number | 8173329075 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS DEPT OF STATE HEALTH SERVICES | 12127 | 01 |
| Street Address |
801 ROAD TO SIX FLAGS W STE 132 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629320478 | Phoenix Associates Counseling Services, Inc. | Clinic/Center | 801 Road To Six Flags W Ste 132, Arlington, TX 76012-2600 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| 1831701051 | Sherry Lynn Fidel | Counselor | 609 E Main St Ste 126, Arlington, TX 76010-1231 | 2020-08-19 |
| 1134743479 | Annia Gabriela Palacios | Counselor | 2101 Prestonwood Dr, Arlington, TX 76012-5418 | 2020-06-02 |
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1295397180 | Gary Zabunian | Counselor | 2523 Washington Blvd, Arlington, VA 22201-1117 | 2019-07-01 |
| 1811331200 | Denesh Singh | Counselor | 1521 N Cooper St Ste 208, Arlington, TX 76011-5522 | 2013-04-29 |
| 1568722445 | Kelli Jeanne Roark | Counselor | 4511 188th St Ne, Arlington, WA 98223-7778 | 2012-05-24 |
| 1306122718 | Liselotte Caroline Draney | Counselor | 602 N Edgewood St, Arlington, VA 22201-1932 | 2011-10-30 |
| 1023310026 | Christopher Demetrius Lattimore | Counselor | 3210 Pleasant Valley Ln Ste B, Arlington, TX 76015-2906 | 2010-11-23 |
| 1366778110 | Janice D Dolan | Counselor | 214 Billings St, Suite 240, Arlington, TX 76010-5404 | 2009-10-29 |
| Find all providers in ARLINGTON | ||||
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| 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.