Grapevine Valley Hope

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9838 Issued in TX

Legal business name

GRAPEVINE VALLEY HOPE

Practice address

2300 William D Tate Ave
Grapevine, TX 76051-3919

Phone

(817) 424-9013

Fax

(817) 329-0974

NPI assigned

Nov 5, 2007

Last updated

Nov 5, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

VALLEY HOPE ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Michael David Webb, MA, LCDC

Title

Outpatient Program Director

Phone

(817) 424-9013

Specialties & licenses 1

Addresses

Part of

Valley Hope Association

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Valley Hope Association

  dba Grapevine Valley Hope

  • Substance Abuse Rehabilitation Facility
  • Grapevine, TX
  • NPI 1508891904
  NPPES parent name

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1720268949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WILLIAM D TATE AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513919",
            "telephone_number": "817-424-9013",
            "fax_number": "817-329-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WILLIAM D TATE AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513919",
            "telephone_number": "817-424-9013",
            "fax_number": "817-329-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE VALLEY HOPE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HOPE ASSOCIATION",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OUTPATIENT PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "817-424-9013",
        "authorized_official_credential": "MA, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.