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Contact Information

THE SAFE PLACE OF GRAND PRAIRIE, LLC
5433 PRAIRIE LN
GRAND PRAIRIE, TX75052-0615
 Phone: 817-658-5570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Interpreter

171R00000X
 

Point of Service

305S00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THE SAFE PLACE OF GRAND PRAIRIE, LLC

NPI Number 1265726095
LBN Legal business name THE SAFE PLACE OF GRAND PRAIRIE, LLC
Authorized official DAYNA EVANS - (OWNER, FOUNDER, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2011
Last updated 10/28/2011 - About 15 years ago
Identifiers n/a
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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