C4K LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

62154 Issued in TX

Legal business name

C4K LLC

Practice address

5113 Summertree CT
Garland, TX 75043-2889

Phone

(972) 303-0813

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

Patricia Arnold

Title

Managing Member

Phone

(972) 303-0813

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Terri C Liticker, LCSW

  • Clinical Social Worker
  • Mesquite, TX
  • NPI 1740431071
  NPD (past)

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1891189569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 SUMMERTREE CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432889",
            "telephone_number": "972-303-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 SUMMERTREE CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432889",
            "telephone_number": "972-303-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C4K LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-303-0813"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "62154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209102701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanthy Buth
• Maggie Sullivan Butler, MS, CCC-SLP
• Daniel Byrd
• C B Enterprise
• C Clarke II MD GYN PA
• Esther Elaine Caballero
• John Cabanez
• Lysa Cage
• Leigh Ann Cagle, STA
• Laurie Suzanne Cain

• Community/Behavioral Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.