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Contact Information

FOREVER CARE BEHAVIORAL HEALTH LLC
3626 NORTH HALL STREET (TWO OAK LAWN), STE 610
DALLAS, TX75219
 Phone: 972-784-1129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Behavior Technician

106S00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for FOREVER CARE BEHAVIORAL HEALTH LLC

NPI Number 1740855931
LBN Legal business name FOREVER CARE BEHAVIORAL HEALTH LLC
Authorized official DEISHONDA GREENWOOD - (CLINICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2021
Last updated 05/21/2021 - About 5 years ago
Identifiers
TX Medicaid 05
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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