Maze of Life Resource Center
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 12700 Hillcrest Rd Ste 125, Dallas, TX 75230-2009
Phone: 4698488660

Maze of Life Resource Center (NPI# 1245857416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1245857416
Entity Type Organization
Organization Name MAZE OF LIFE RESOURCE CENTER
Practice Address 12700 Hillcrest Rd Ste 125
Dallas
TX 75230-2009
Practice Telephone 4698488660
Practice Fax Number 3123002010
Mailing Address 12700 Hillcrest Rd Ste 125
Dallas
TX 75230-2009
Mailing Telephone 4698488660
Mailing Fax Number 3123002010
Authorized Official Name Ms. Kasey Nicole Tyler (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 4698488660
Authorized Official Credential CAMS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-07-02
Last Update Date 2020-07-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Maze of Life Resource Center Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 12700 HILLCREST RD STE 125
City DALLAS
State TX
Zip Code 75230-2009

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Competitor

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City DALLAS
Zip Code 75230

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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.