Premier Behavioral Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PREMIER BEHAVIORAL HEALTH, PLLC

Practice address

1428 W Hebron Pkwy
Suite 135
Carrollton, TX 75010-6345

Phone

(972) 836-8051

Fax

(972) 695-4005

NPI assigned

Jul 3, 2015

Last updated

Jun 13, 2016By 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

Stephanie Haraburda, LPCNPI 1932479169

Title

Owner/Practice Manager

Phone

(972) 836-8051

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.

• Stephanie Haraburda, M.ED., LPC

  • Mental Health Counselor
  • Carrollton, TX
  • NPI 1932479169
  Authorized official Same address or phone

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1801279187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY",
            "address_2": "SUITE 135",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106345",
            "telephone_number": "972-836-8051",
            "fax_number": "972-695-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY",
            "address_2": "SUITE 135",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106345",
            "telephone_number": "972-836-8051",
            "fax_number": "972-695-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HARABURDA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-836-8051",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.