Active NPI
Martez Place HCS LLC
- Adult Mental Health Clinic/Center
- Forney, TX
National Provider Identifier
1760046502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MARTEZ PLACE HCS LLC
- Practice address
- 2126 Pecan Ridge Dr
Forney, TX 75126-4070 - Phone
- (214) 586-7110
- NPI assigned
- Apr 26, 2019
- 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
- Marlo Snerling
- Title
- Ceo
- Phone
- (214) 586-7110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2126 Pecan Ridge Dr
Forney, TX 75126-4070
Mailing address
2126 Pecan Ridge Dr
Forney, TX 75126-4070
Phone (214) 586-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834551325 | Medicaid | TX |
Other names 1
- Martez Place
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699920000000",
"number": "1760046502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 PECAN RIDGE DR",
"city": "FORNEY",
"state": "TX",
"postal_code": "751264070",
"telephone_number": "214-586-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 PECAN RIDGE DR",
"city": "FORNEY",
"state": "TX",
"postal_code": "751264070",
"telephone_number": "214-586-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTEZ PLACE HCS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-26",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A",
"authorized_official_last_name": "SNERLING",
"authorized_official_first_name": "MARLO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-586-7110"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "834551325",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Martez Place",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.