Bedrock Counseling, PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BEDROCK COUNSELING, PLLC

Practice address

575 N Valley Parkway
Suite 230
Lewisville, TX 75067

Phone

(972) 906-9112

Fax

(972) 906-9125

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lilliam Polo, LCDCI

Title

Executive Director

Phone

(214) 680-5074

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1013287721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PARKWAY",
            "address_2": "SUITE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "972-906-9112",
            "fax_number": "972-906-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N VALLEY PARKWAY",
            "address_2": "SUITE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "972-906-9112",
            "fax_number": "972-906-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "POLO",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-680-5074",
        "authorized_official_credential": "LCDCI"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BBC Medical Center, PLLC
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• Marissa Bean
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• Arwen Beckinger, OTR
• Bedrock Counseling, PLLC
• Behavioral Health Medical Group, PA
• Behavioral Health Specialists (de), P.a.
• Kendra Ugo Behram, DDS
• Bell Counseling,Services, PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.