Heritage Behavioral Health Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12584 Issued in TX

Legal business name

HERITAGE BEHAVIORAL HEALTH CENTER

Practice address

2485 E Southlake Blvd
Suite 180
Southlake, TX 76092-6686

Phone

(817) 488-9697

Fax

(817) 488-9656

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne Renee Lozano, MSSW, LCSW

Title

Owner

Phone

(817) 488-9697

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Siegel, LCSW, LCDC

  • Clinical Social Worker
  • Southlake, TX
  • NPI 1194134528
  NPD (past)
• Tamra White, LPC

  • Counselor
  • Southlake, TX
  • NPI 1366441578
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1053545509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 E SOUTHLAKE BLVD",
            "address_2": "SUITE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926686",
            "telephone_number": "817-488-9697",
            "fax_number": "817-488-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E SOUTHLAKE BLVD",
            "address_2": "SUITE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926686",
            "telephone_number": "817-488-9697",
            "fax_number": "817-488-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-488-9697",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "12584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Gomez Hendrix-Smith, LCSW
• Jaycee Hendrix
• Katherine Margaret Theresa Henry, APRN, FNP-C
• Alysen B Hensley
• Tyce D Hergert, D.C.
• Herlihy Clinic P.C.
• Charles E Herlihy Jr., MD
• Derek Richard Herms, DC
• Sarah Hernalsteen, MS, LPCA
• Analise Maria Hernandez

• Clinical Social Worker in Southlake, TX
• Providers in Southlake, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.