Palace 1Art Day Hab

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PALACE 1ART DAY HAB

Practice address

2115 Mesa Wood Dr
Glenn Heights, TX 75154-8583

Phone

(469) 235-5443

NPI assigned

Jul 28, 2023

Organization subpart

Yes

Parent organization

PALACE 1 THERAPEUTIC RANCHAs reported in NPPES

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

Authorized official

Name

Virginia Irene Wooten

Title

Owner

Phone

(469) 235-5443

Specialties & licenses 2

Addresses

Part of

Palace 1 Therapeutic Ranch

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1679254049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 MESA WOOD DR",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548583",
            "telephone_number": "469-235-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MESA WOOD DR",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548583",
            "telephone_number": "469-235-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE 1ART DAY HAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALACE 1 THERAPEUTIC RANCH",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-235-5443"
    },
    "taxonomies": [
        {
            "code": "102X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Laura O'Flaherty, MA, LPC
• Brittany R Odom, LVN
• Jill Kimberly Ofoh, LPC, MED
• Charity Elyssa Pace
• Palace 1 Therapeutic Ranch
• Ebony S Perry
• Haley Renee Perry
• Michelle Hill Peterson
• Quality of Life Health Care Solutions PLLC
• Radiant Home Health Care

• Developmentally Disabled Services Day Training Agency in Glenn Heights, TX
• Providers in Glenn Heights, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.