National Provider Identifier Database

CHARIS BEHAVIORAL HEALTH LLC
Mental Health (Including Community Mental Health Center)


Contact Information

CHARIS BEHAVIORAL HEALTH LLC
250 W SOUTHLAKE BLVD
SOUTHLAKE, TX76092-6171
Phone: 469-578-2529
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health 261QM0855X
Psychiatric Hospital 283Q00000X

* Indicates primary specialty

NPI Profile & details for CHARIS BEHAVIORAL HEALTH LLC

NPI Number 1124664123
Legal business name
LBN
CHARIS BEHAVIORAL HEALTH LLC
Authorized official COSALYN YOUNG - (BUSINESS OPERATIONS DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/25/2019
Last updated 01/06/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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