Organization Active NPI

Life Point Healthcare Services of Texas

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dallas, TX
National Provider Identifier
1932998382
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21035532MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250808002131 TX Part B Supplier - Clinic/Group Practice 0446758411 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2342728Life Point Healthcare Services of Texas4101 McEwen Road, Suite 140, Dallas, TX 75244Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.