Active NPI
Essence Health LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1467314476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ESSENCE HEALTH LLC
- Practice address
- 11133 Shady TRL
Dallas, TX 75229-4617 - Phone
- (224) 224-5512
- Fax
- (240) 391-1040
- NPI assigned
- Nov 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rena L Miller, PHD
- Title
- Manager
- Phone
- (224) 224-5512
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11133 Shady TRL
Dallas, TX 75229-4617
Mailing address
11133 Shady TRL
Dallas, TX 75229-4617
Phone (224) 224-5512
National Provider Directory
National Provider DirectoryLocations
11133 Shady Trl
Dallas, TX 75229
Phone (469) 718-9521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767139200000",
"number": "1467314476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11133 SHADY TRL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752294617",
"telephone_number": "224-224-5512",
"fax_number": "240-391-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 SHADY TRL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752294617",
"telephone_number": "224-224-5512",
"fax_number": "240-391-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENCE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-27",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RENA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "224-224-5512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.