Redbud Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

36594 Issued in TX

Legal business name

REDBUD COUNSELING SERVICES, PLLC

Practice address

8204 Elmbrook Dr
Suite 305-B
Dallas, TX 75247-4067

Phone

(214) 687-8365

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark CollinsNPI 1861704769

Title

LCSW

Phone

(214) 687-8365

Specialties & licenses 1

Addresses

Other names 1

• Mark Collins, LCSW Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Collins, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1861704769
  Authorized official Same address or phone

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1407295157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 BISCAYNE DR W",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750607216",
            "telephone_number": "214-687-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 ELMBROOK DR",
            "address_2": "SUITE 305-B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474067",
            "telephone_number": "214-687-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBUD COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "214-687-8365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "36594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Collins, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.