Rebirth Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REBIRTH INC.

Doing business as

Rebirth Wellness

Practice address

2340 E Trinity Mills Rd Ste 300
Carrollton, TX 75006-1947

Phone

(469) 608-0295

Fax

(903) 913-7274

NPI assigned

May 8, 2024

Organization subpart

Yes

Parent organization

REBIRTH, INC.As reported in NPPES

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

Authorized official

Name

Ms. Crystal Dionne Dudley

Title

Owner

Phone

(469) 608-0295

Specialties & licenses 1

Addresses

Other names 1

• Rebirth Wellness Doing business as

Tax ID family

Rebirth Inc2 organizations share this tax ID, including this one

Part of

Rebirth Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rebirth Inc.

  • Professional Counselor
  • Irving, TX
  • NPI 1588282032
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rebirth Inc.

  • Professional Counselor
  • Irving, TX
  • NPI 1588282032
  NPPES parent name

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1285482075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 300",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061947",
            "telephone_number": "469-608-0295",
            "fax_number": "903-913-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 300",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061947",
            "telephone_number": "469-608-0295",
            "fax_number": "903-913-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REBIRTH, INC.",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-608-0295",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebirth Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark K Ray, M.D.
• Realtime Laboratories, Inc
• Rebalance Wellness Centers
• Rebalance Wellness Centers, LLC
• Rebirth Counseling, PLLC
• Lara Rechnitzer, DPT
• Nikla Reddy, DDS
• Christie Marie Redrow, PA-C
• Redus Home Health Care
• Mya Elise Reed, COTA

• Substance Abuse Rehabilitation Facility in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.