Dazona Life and Learning Center

Key facts

NPI

1104439082

Entity type

Organization (NPI type 2)

Primary specialty

Developmentally Disabled Services Day Training Agency 251C00000X

Legal business name

DAZONA LIFE AND LEARNING CENTER

Practice address

14140 Hwy 195
Killeen, TX 76542-4850

Phone

(254) 516-1144

Fax

(254) 519-1155

NPI assigned

Aug 28, 2020

Organization subpart

No

Authorized official

Name

Debbie K Mabray, LMFT, LPC

Title

Owner

Phone

(254) 519-1144

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2020.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1104439082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 HWY 195",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424850",
            "telephone_number": "254-516-1144",
            "fax_number": "254-519-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 HWY 195",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424850",
            "telephone_number": "254-516-1144",
            "fax_number": "254-519-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZONA LIFE AND LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "MABRAY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-519-1144",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Killeen, TX · Developmentally Disabled Services Day Training Agency in Texas