Organization Active NPI

Daybreak Wellness, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Desoto, TX
National Provider Identifier
1407469067
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAYBREAK WELLNESS, PLLC
Practice address
1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390
Phone
(972) 478-1960
Fax
(972) 572-3337
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Ms. Debbie A Williams, LCSWNPI 1679526859
Title
Social Worker
Phone
(214) 695-9536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390

Mailing address

1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390
Phone (214) 695-9536

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1407469067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD STE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "214-695-9536",
            "fax_number": "972-572-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD STE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "972-478-1960",
            "fax_number": "972-572-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "214-695-9536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.