Darius Pettway Life Skool Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DARIUS PETTWAY LIFE SKOOL CORPORATION

Practice address

4849 W Illinois Ave
Dallas, TX 75211-6503

Phone

(214) 945-0642

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Darius D Pettway, MANPI 1841045176

Title

Ceo

Phone

(214) 945-0642

Specialties & licenses 2

Addresses

Other names 1

• Life Skool Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darius D Pettway

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
  • NPI 1841045176
  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1457033888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210061",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752110061",
            "telephone_number": "214-945-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752116503",
            "telephone_number": "214-945-0642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 E Belknap St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761116010",
            "country_code": "US",
            "telephone_number": "214-945-0642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARIUS PETTWAY LIFE SKOOL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PETTWAY",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-945-0642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Skool",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quanica L Darden, APRN PNP
• Terry A Darden, DDS
• Josiah Adetayo Dare
• Misbah Daredia
• Christopher Ross Darilek, OD
• Vedanta Singh Dariya, MBBS
• Chloe Darko, DDS
• Tabita Amoatemaa Darkwah, MSN, APRN, FNP-C
• Mikayla Lynn Darling, DO
• Timothy Bryan Darmstedter, PA-C

• Case Management Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.