STAR LEGACY BEHAVIORAL HEALTH PLLC
Nurse Practitioner (Psych/Mental Health)

Address: 539 W Commerce St Ste 3008, Dallas, TX 75208-1953

STAR LEGACY BEHAVIORAL HEALTH PLLC (NPI# 1104409010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104409010
Entity Type Organization
Organization Name STAR LEGACY BEHAVIORAL HEALTH PLLC
Practice Address 539 W Commerce St Ste 3008
Dallas
TX 75208-1953
Practice Telephone 9723103906
Mailing Address 539 W Commerce St Ste 3008
Dallas
TX 75208-1953
Mailing Telephone 9723103906
Certification Date 2021-05-14
Enumeration Date 2021-04-29
Last Update Date 2021-05-14
Authorized Official Telephone 9723103906
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 539 W COMMERCE ST STE 3008
City DALLAS
State TX
Zip Code 75208-1953

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407909609 Roz Brown Social Worker - Clinical 539 W Commerce St # 1977, Dallas, TX 75208-1953 2007-01-19
1205417573 Givinghope Behavioral Health Inc Clinic/Center - Mental Health (Including Community Mental Health Center) 539 W Commerce St Ste 4934, Dallas, TX 75208-1953 2021-04-19
1619524568 Intermed Rcm, LLC General Acute Care Hospital 539 W Commerce St # 310, Dallas, TX 75208-1953 2019-08-23
1881166940 Christina Campbell Nurse Practitioner - Family 539 W Commerce St Ste 1745, Dallas, TX 75208-1953 2018-12-28
1003432246 Howdy Pediatrics, LLC Behavioral Analyst 539 W Commerce St Ste 608, Dallas, TX 75208-1953 2020-06-23
1689248635 The Telespeech Coach, Pllc Clinic/Center - Hearing and Speech 539 W Commerce St Ste 2986, Dallas, TX 75208-1953 2021-05-14
1053906172 Earthsong Counseling, Pllc Clinic/Center - Mental Health (Including Community Mental Health Center) 539 W Commerce St # 5782, Dallas, TX 75208-1953 2021-03-02
1467693366 Davonna Wilson Nurse Practitioner - Family 539 W Commerce St # 2011, Dallas, TX 75208-1953 2009-03-23
1265024061 Kerez Williams Dietitian, Registered 539 W Commerce St Ste 286, Dallas, TX 75208-1953 2021-02-03
1023476934 Stella Apari Nurse Practitioner - Family 539 W Commerce St Ste 3009, Dallas, TX 75208-1953 2016-02-05
Find all in zip 75208-1953

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1659841237 Andrea Pavia-Jimenez Physician Assistant 817 Jefferson Blvd, Dallas, TX 75208 2018-11-27
1659815892 Texas Traumatic Brain Injury Rehab Counselor - Professional 214 W. Colorado Blvd., Dallas, TX 75208 2016-12-07
1992003545 Injury Institute of Texas · Injury Institute of Texas Chiropractor 216 West Jefferson Blvd, Dallas, TX 75208 2011-03-07
1265732382 Access Dental of Hampton, P.a. Dentist 322 S Hampton Road, Dallas, TX 75208 2010-10-22
1669616066 Jose F Basora · Jose F Basora Rovira Internal Medicine - Critical Care Medicine 221 W. Colorado Blvd. Pavilion 2, Suite 525, Dallas, TX 75208 2009-04-29
1841716859 Jennifer Atherton Student in an Organized Health Care Education/Training Program 618 S Rosemont Ave, Dallas, TX 75208 2017-08-22
1295120111 Silva Pharmacy, Inc · Silva Pharmacy Pharmacy - Community/Retail Pharmacy 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 2015-03-30
1023458650 O.c Medical Associates Pa Internal Medicine 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 2013-06-27
1538646351 Isabel Martinez Family Medicine 737 N Bishop Ave, Dallas, TX 75208 2018-07-24
1487052478 Kassandra Sanchez Counselor - Professional 210 West 10th Street, Dallas, TX 75208 2014-12-08
Find all in zip 75208

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679147946 Guetty Jean-Louis Nurse Practitioner - Psych/Mental Health 2351 W Northwest Hwy Ste 2300, Dallas, TX 75220-4456 2021-05-19
1003496472 Ijego Nwankwo Nurse Practitioner - Psych/Mental Health 1601 Elm St Ste 4360, Dallas, TX 75201-4701 2021-04-10
1689268617 Kangamwirai Manyanga Nurse Practitioner - Psych/Mental Health 1441 Berkley Ave, Dallas, TX 75224-1113 2021-02-20
1497357206 Elizabeth Kerubo Otucho Nurse Practitioner - Psych/Mental Health 9330 Lbj Fwy Ste 948, Dallas, TX 75243-3436 2020-11-16
1366052805 Deadra Jordan Nurse Practitioner - Psych/Mental Health 5995 Summerside Dr Unit 795142, Dallas, TX 75379-0095 2020-08-07
1790393965 Lim Behavioral Health Services Inc Nurse Practitioner - Psych/Mental Health 5769 Belt Line Rd Apt 708, Dallas, TX 75254-7676 2020-07-14
1083235691 Annemarie Osondu Odo Nurse Practitioner - Psych/Mental Health 9450 Skillman St Ste 120, Dallas, TX 75243-8235 2020-05-05
1346871696 Ebote Ngite Nnoko Nurse Practitioner - Psych/Mental Health 108 Crescent Woode Dr, Dallas, GA 30157-5725 2020-01-27
1447895289 Vanessa Mukasolu Echetabu Nurse Practitioner - Psych/Mental Health 6363 Forest Park Rd Fl 7, Dallas, TX 75235-5479 2019-11-15
1205487360 All Absolute Home Care Nurse Practitioner - Psych/Mental Health 2626 Cole Ave Ste 300, Dallas, TX 75204-1094 2019-09-20
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75208

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NPI Name Taxonomy Address Enumeration
1972146496 Desert Star Behavioral Health, LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 650 Ne G Avenue, Fabens, TX 79838 2019-10-28
1295313963 Simso Behavioral Legacy, LLC. Nurse Practitioner - Psych/Mental Health 20119 Goss Hollow Ln, Katy, TX 77449-0039 2021-04-01
1003401209 Compromiso Behavioral Health Pllc Social Worker - Clinical 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741-6966 2021-03-09
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1770174989 Mindset Behavioral Health Pllc Community/Behavioral Health 5800 S Lewis Ave Ste 275, Tulsa, OK 74105-7100 2021-01-30
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.