Active NPI
Life Point Healthcare Services of Texas
- Substance Use Disorder Rehabilitation Clinic/Center
- Dallas, TX
National Provider Identifier
1932998382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- LIFE POINT HEALTHCARE SERVICES OF TEXAS
- Practice address
- 4101 McEwen Rd Ste 140
Dallas, TX 75244-5478 - Phone
- (214) 550-7150
- Fax
- (214) 550-3864
- NPI assigned
- May 2, 2025
- Last updated
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devante Mullen
- Title
- President
- Phone
- (214) 550-7150
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
4101 McEwen Rd Ste 140
Dallas, TX 75244-5478
Mailing address
4101 McEwen Rd Ste 140
Dallas, TX 75244-5478
Phone (919) 706-9474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21035532 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2342728 | Life Point Healthcare Services of Texas | Certificate of waiver | Apr 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
4101 McEwen Rd
Ste 140
Dallas, TX 75244
Phone (214) 550-7150
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Professional Counselor
- Plano, TX
- NPI 1124586169
-
- Professional Counselor
- Dallas, TX
- NPI 1831629625
-
- Addiction (Substance Use Disorder) Counselor
- Dallas, TX
- NPI 1376173633
-
- Addiction (Substance Use Disorder) Counselor
- Dallas, TX
- NPI 1003739012
-
- Peer Specialist
- Dallas, TX
- NPI 1427952365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1932998382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 MCEWEN RD STE 140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445478",
"telephone_number": "919-706-9474",
"fax_number": "214-550-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 MCEWEN RD STE 140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445478",
"telephone_number": "214-550-7150",
"fax_number": "214-550-3864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE POINT HEALTHCARE SERVICES OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-02",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "DEVANTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-550-7150"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21035532",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.