Asl Behavioral Health Clinic PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ASL BEHAVIORAL HEALTH CLINIC PLLC

Practice address

103 Herrington Dr # Tx76063
Mansfield, TX 76063-7615

Phone

(661) 717-2143

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eucharia Onwubuya

Title

Owner

Phone

(661) 717-2143

Specialties & licenses 1

Addresses

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.

• Kimberly Nneka Onwubuya, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
  • NPI 1386292001

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1760259832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HERRINGTON DR # TX76063",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HERRINGTON DR # TX76063",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637615",
            "telephone_number": "661-717-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASL BEHAVIORAL HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ONWUBUYA",
        "authorized_official_first_name": "EUCHARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-717-2143"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.