Organization Active NPI

Wings of Healing & Hope, LLC

  • Adult Mental Health Clinic/Center
  • Dallas, TX
National Provider Identifier
1619756251
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WINGS OF HEALING & HOPE, LLC
Practice address
5473 Blair Rd., Suite 100
# 220397
Dallas, TX 75231-4101
Phone
(469) 984-9980
Fax
(469) 519-5317
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Brittney T. Tatum, LPCNPI 1619756103
Title
Managing Member/Owner
Phone
(469) 984-9980

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

5473 Blair Rd., Suite 100
# 220397
Dallas, TX 75231-4101

Mailing address

5473 Blair Rd., Suite 100
# 220397
Dallas, TX 75231-4101
Phone (469) 984-9980

Other names 1

  • Wings of Healing & Hope, LLC Former legal business name

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1619756251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD., SUITE 100",
            "address_2": "# 220397",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "469-984-9980",
            "fax_number": "469-519-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD., SUITE 100",
            "address_2": "# 220397",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "469-984-9980",
            "fax_number": "469-519-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HEALING & HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "469-984-9980",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings of Healing & Hope, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 25, 2023; 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.