ABC BEHAVIORAL HEALTH, L.L.C. (NPI# 1164404398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164404398 |
| Entity Type | Organization |
| Organization Name | ABC BEHAVIORAL HEALTH, L.L.C. |
| Practice Address |
4600 Samuell Blvd Dallas TX 75228-6874 |
| Practice Telephone | 2142758500 |
| Practice Fax Number | 2142756990 |
| Mailing Telephone | 2142758500 |
| Mailing Fax Number | 2142756990 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MELODIE SHATZER (PRESIDENT, CEO) |
| Authorized Official Telephone | 2142758500 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4600 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003021429 | Ashley Nicole Dye | Counselor | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2007-05-10 |
| 1114149119 | Cynthia Lynn Clements | Counselor | 4600 Samuell Blvd, Dallas, TX 75228 | 2007-05-02 |
| 1982826988 | Sarah Lynn Roeber | Marriage & Family Therapist | 4600 Samuell Blvd, Dallas, TX 75228 | 2007-05-02 |
| 1508987884 | George Morton | Pharmacist | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2007-04-03 |
| 1427172428 | Leanne Fondren | Counselor | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2007-03-17 |
| 1972639268 | Brad Schoeneman | Counselor | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2007-02-23 |
| 1275683971 | William Eric Reynolds | Counselor | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2007-01-12 |
| 1316958655 | Mark Paul Unterberg | Psychiatry & Neurology | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2006-08-11 |
| 1639180342 | Carmen E Llauger-mier | Psychiatry & Neurology | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2006-08-10 |
| 1033120811 | Mary Ann Knesevich | Psychiatry & Neurology | 4600 Samuell Blvd, Dallas, TX 75228-6827 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564683 | Solutions Mental Health, Pllc | Counselor | 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 | 2020-09-30 |
| 1588284848 | Prime Counseling | Counselor | 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 | 2020-04-16 |
| 1174157093 | Stephanie Grogan | Counselor | 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 | 2020-02-29 |
| 1982236014 | Shannon Christine O'connor | Counselor | 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 | 2020-02-06 |
| 1215576574 | Mary Kemp Tabor | Counselor | 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 | 2020-01-03 |
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1679116909 | Origins Counseling LLC | Counselor | 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 | 2019-10-18 |
| 1225679665 | Katherine Foutz | Counselor | 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 | 2019-10-07 |
| 1831730910 | Christopher Paul Logan | Counselor | 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 | 2019-09-30 |
| Find all providers in DALLAS | ||||
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| 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.