Maze of Life Resource Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAZE OF LIFE RESOURCE CENTER

Doing business as

Maze of Life Resource Center

Practice address

12700 Hillcrest Rd Ste 125
Dallas, TX 75230-2009

Phone

(469) 848-8660

Fax

(312) 300-2010

NPI assigned

Jul 2, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Kasey Nicole Tyler, CAMS

Title

Director of Operations

Phone

(469) 848-8660

Specialties & licenses 1

Addresses

Other names 1

• Maze of Life Resource Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1245857416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "469-848-8660",
            "fax_number": "312-300-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "469-848-8660",
            "fax_number": "312-300-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZE OF LIFE RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "469-848-8660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAMS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "CRM system HIPPA Approved",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12700 Hillcrest Rd Ste 125",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maze of Life Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teila Mays, COTA
• Shedrick Leon Mayweather III
• Shay Mayya, MD
• Parisa Mazandarani, RKT
• Lindsey Rae Mazanec, MS, RD, LD
• Paulo Mazini Neto, DDS
• Mark Lawrence Mazow, M.D.
• Kelly M. Mazzarella, D.O.
• Mazzy Health, LLC (Oak Bluffs Therapy Group)
• MB Surgery Associates, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.