Organization Active NPI

Dallas Art Therapy

  • Community/Behavioral Health Agency
  • Richardson, TX
National Provider Identifier
1376165936
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DALLAS ART THERAPY
Practice address
2007 N Collins Blvd Ste 411
Richardson, TX 75080-2665
Phone
(972) 544-6633
Fax
(214) 237-1269
NPI assigned
May 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Miss Andrea Marie Davis, LPC-S, ATR-BC
Title
Ceo
Phone
(214) 673-3571

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2007 N Collins Blvd Ste 411
Richardson, TX 75080-2665

Mailing address

2007 N Collins Blvd Ste 411
Richardson, TX 75080-2665
Phone (972) 544-6633

National Provider Directory

National Provider Directory

Locations

2007 N Collins Blvd
Ste 411
Richardson, TX 75080
Phone (972) 544-6633

NPI Registry JSON

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1376165936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N COLLINS BLVD STE 411",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802665",
            "telephone_number": "972-544-6633",
            "fax_number": "214-237-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N COLLINS BLVD STE 411",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802665",
            "telephone_number": "972-544-6633",
            "fax_number": "214-237-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-673-3571",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC-S, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.