On Epiphany Lane, LLC
Clinic/Center (Multi-Specialty)

Address: 603 Munger Ave Ste 100, Dallas, TX 75202-1840
Phone: 2145600304

On Epiphany Lane, LLC (NPI# 1891396313) 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) 1891396313
Entity Type Organization
Organization Name ON EPIPHANY LANE, LLC
Practice Address 603 Munger Ave Ste 100
TX 75202-1840
Practice Telephone 2145600304
Mailing Address 603 Munger Ave # 100-239
TX 75202-1839
Mailing Telephone 2145600304
Authorized Official Name Tiffany Neulene Lindley (MANAGING MEMBER)
Authorized Official Telephone 2145600304
Authorized Official Credential LPC-S
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-02
Last Update Date 2020-11-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers
No 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers
No 251K00000X Public Health or Welfare Agencies
No 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities
Yes 261QM1300X Clinic/Center · Multi-Specialty Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
TX 1215272737 OTHER NPI

Other Provider/Organization Names

Other Name Type Code
Epiphany Lane Counseling Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Office Location

Street Address 603 MUNGER AVE STE 100
State TX
Zip Code 75202-1840

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710411822 Latosca Brunner Nurse Practitioner 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 2017-04-14
1871925982 Lew Sterrett Justice Center Pharmacy Pharmacy 113 W Commerce, Dallas, TX 75202 2013-07-31
1790001683 Andrew Paul Schade Psychologist 1412 Main St., Suite 320, Dallas, TX 75202 2010-04-16
1912199969 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1411 Main Street, Dallas, TX 75202 2007-08-14
1801991518 Kay Karen Redwine Nurse Practitioner 703 Mckinney Avenue, Suite 433, Dallas, TX 75202 2006-09-14
1922544113 Michael Jafarzadeh Psychologist 1412 Main St, Ste. 320, Dallas, TX 75202 2017-01-11
1730263765 Keith W Brewster Dentist 1717 Main St, Suite 2480, Dallas, TX 75202 2006-10-25
1790384121 Texas Agapecare, LLC Day Training, Developmentally Disabled Services 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 2020-10-17
1477534014 Michael Howard Langfus Physician Assistant 703 Mckinney Ave, Dallas, Dallas, TX 75202-1007 2005-11-10
1265733547 Local Doctor Housecall General Practice 703 Mckinney Ave, Suite 421, Dallas, TX 75202-1007 2010-11-03
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Zip Code 75202

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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.