Organization Active NPI

Behavioral Health Group

  • Community/Behavioral Health Agency
  • Lake Dallas, TX
National Provider Identifier
1871783480
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10828 Issued in TX
Legal business name
BEHAVIORAL HEALTH GROUP
Practice address
209 Woody TRL
Lake Dallas, TX 75065-3125
Phone
(214) 632-1575
Fax
(940) 497-0674
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mrs. Jean Bell Williams, M.ED
Title
Clinical Director
Phone
(214) 632-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10828 TX Primary

Addresses

Primary practice location

209 Woody TRL
Lake Dallas, TX 75065-3125

Mailing address

209 Woody TRL
Lake Dallas, TX 75065-3125

Other identifiers 1

IdentifierTypeStateIssuer
LP0007914MedicaidTX

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1871783480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WOODY TRL",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653125",
            "fax_number": "940-497-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WOODY TRL",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653125",
            "telephone_number": "214-632-1575",
            "fax_number": "940-497-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "BELL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-632-1575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "10828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LP0007914",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.