Behavioral Health Link Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05142 Issued in TX

Legal business name

BEHAVIORAL HEALTH LINK CORPORATION

Practice address

5470 Glen Lakes Dr
Suite 400
Dallas, TX 75231-4320

Phone

(214) 361-9336

NPI assigned

Mar 1, 2008

Organization subpart

No

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

Authorized official

Name

Roger Polan, LCSW

Title

President

Phone

(214) 361-9336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna J Manzano, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1093834970
  NPD (past)

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1801066261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 GLEN LAKES DR",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314320",
            "telephone_number": "214-361-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 GLEN LAKES DR",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314320",
            "telephone_number": "214-361-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH LINK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "POLAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-361-9336",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "05142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000687N8",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral and Medical Homecare Inc
• Behavioral and Mental Health Awareness PLLC
• Behavioral Conquest Inc
• Behavioral Health Connections, Inc.
• Behavioral Health Dallas, PLLC
• Behavioral Health of North Texas LLP
• Behavioral Medicine Clinic
• Behavioral Psychology Clinic, PC
• Mohammad Rahim Behdar, DC
• Annahita Beheshti, DMSC, PA-C

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.