Organization Active NPI

Crescent Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Lancaster, TX
National Provider Identifier
1083211387
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRESCENT BEHAVIORAL HEALTH, LLC
Practice address
202 W Park Place Dr
Lancaster, TX 75134-3250
Phone
(504) 877-2335
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Maxwell, Emile Alvin
Title
Administrator
Phone
(504) 877-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

202 W Park Place Dr
Lancaster, TX 75134-3250

Mailing address

202 W Park Place Dr
Lancaster, TX 75134-3250
Phone (504) 877-2335

National Provider Directory

National Provider Directory

Locations

202 W Park Place Dr
Lancaster, TX 75134
Phone (504) 877-2335

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1083211387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W PARK PLACE DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751343250",
            "telephone_number": "504-877-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PARK PLACE DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751343250",
            "telephone_number": "504-877-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "ALVIN",
        "authorized_official_first_name": "MAXWELL,",
        "authorized_official_middle_name": "EMILE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-877-2335"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.