LIFENET


Address: 9708 Skillman St, Dallas, TX 75243-5150
Phone: 2142066839

LIFENET (NPI# 1205195302) 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) 1205195302
Entity Type Organization
Organization Name LIFENET
Practice Address 9708 Skillman St
Dallas
TX 75243-5150
Practice Telephone 2142066839
Enumeration Date 2012-05-09
Last Update Date 2012-05-09
Authorized Official Name NATACHA MEDEARIS (QMHP)
Authorized Official Telephone 2142066839
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811389364 Lifenet Case Management 809 S. 9th Street, Douglas, WY 82633-2959 2015-02-20
1194114587 Lifenet Case Management 106 East 2nd Ave., Yoder, WY 82244 2015-01-22
1437548054 Lifenet Case Management 3001 Henderson Dr Ste N, Cheyenne, WY 82001-5840 2015-01-20
1881036028 Lifenet Ambulance 5649 John Givens Rd, Crestview, FL 32539-7031 2013-07-29
1306180054 Lifenet Health Maintenance Organization 9708 Skillman St, Dallas, TX 75243-5150 2012-11-19
1003150038 Lifenet Community/Behavioral Health 9708 Skillman St, Dallas, TX 75243-5150 2012-11-15
1740539410 Lifenet Clinic/Center 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 2012-09-10
1881961357 Lifenet Day Training, Developmentally Disabled Services 809 S 9th St, Douglas, WY 82633-2959 2011-11-28

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LIFENET COMMUNITY BEHAVIORAL HEALTHCARE 9708 Skillman St Rm 200, Dallas, TX 75243-5150
Washington State Corporations LIFENET FOUNDATION 4526 Federal Ave, Everett, WA 98203
System for Award Management (SAM) Entities LIFENET HEALTH 1864 Concert Dr, Virginia Beach, VA 23453-1903
Oregon Corporations, Companies and Business Names LIFENET HEALTH 1864 Concert Dr, Virginia Beach, VA 23453
Washington State Corporations LIFENET HEALTH 1864 Concert Dr, Virginia Beach, VA 23453-1903
Iowa Business Entities LIFENET HEALTH 1864 Concert Drive, Virginia Beach, VA 23453
Virginia Business Entities LifeNet Health 1864 Concert Drive, Virginia Beach, Virginia 23453
New York State Corporations LIFENET HEALTH 1864 Concert Drive, Virginia Beach, Va 23453
Washington State Corporations LIFENET HEALTH NORTHWEST, LLC 501 Sw 39th St, Renton, WA 98057
New York State Corporations LIFENET INC. 7001 Brush Hollow Rd, Ste 214, Westbury, Ny 11590

Office Location

Street Address 9708 SKILLMAN ST
City DALLAS
State TX
Zip Code 75243-5150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275772246 Maura Kathleen Cornell Counselor 9708 Skillman St, Dallas, TX 75243-5150 2009-02-13
1396363107 Lesley Sara John Nurse Practitioner 9708 Skillman St, Dallas, TX 75243-5150 2020-07-08
1285174748 Esther Kerubo Areba Nurse Practitioner 9708 Skillman St, Dallas, TX 75243-5150 2017-03-03
1407243306 Dallas County Mental Health & Mental Retardation Center Pharmacy 9708 Skillman St, Dallas, TX 75243-5150 2015-04-20
1437497534 Madison Anne Dolph Social Worker 9708 Skillman St, Dallas, TX 75243-5150 2013-01-24
1154668812 Jillian Brogdon Counselor 9708 Skillman St, Dallas, TX 75243-5150 2013-01-14
1306180054 Lifenet Health Maintenance Organization 9708 Skillman St, Dallas, TX 75243-5150 2012-11-19
1003150038 Lifenet Community/Behavioral Health 9708 Skillman St, Dallas, TX 75243-5150 2012-11-15
1578816971 Rachel Deborah Guzy Behavioral Analyst 9708 Skillman St, Dallas, TX 75243-5150 2012-10-23
1023377116 Victoria T Bryant Behavioral Analyst 9708 Skillman St, Dallas, TX 75243-5150 2012-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970830 Nnamdi Okorie Licensed Vocational Nurse [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 2020-07-23
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1295221786 Cornerstonemd,pllc Obstetrics & Gynecology 12222 N Central Expy Ste 140, Dallas, TX 75243 2018-07-08
1033609292 Mother Earth Healthcare Services Inc Home Health 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 2018-05-14
1346742822 Chioma Ifeji Licensed Vocational Nurse 13317 Daystrom Court, Dallas, TX 75243 2018-03-01
1598282865 Kimberly Ann Whitney Social Worker 11520 N Central Expy Ste 254, Dallas, TX 75243 2017-08-27
1962934083 Dignity Private Care, LLC In Home Supportive Care 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 2017-03-29
1699214569 Vitalis Home Health LLC Home Health 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 2017-02-13
1881130946 Proniles Non-emergency Medical Transport (VAN) 12611 Hornbeam Dr, Dallas, TX 75243 2017-01-13
1194273664 Osman W Awdallah Non-emergency Medical Transport (VAN) 12611 Hornbeam Drive, Dallas, TX 75243 2016-09-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396313 On Epiphany Lane, LLC Counselor 603 Munger Ave Ste 100, Dallas, TX 75202-1840 2020-11-02
1487253951 Shanler Leigh Hoover Counselor 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 2020-10-25
1316546385 Paola Guadalupe Garcia Counselor 8338 Midland Ln, Dallas, TX 75217-8850 2020-10-21
1447858378 Theresa Lashonda Lucie Moody Counselor 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 2020-10-13
1609473693 Donna Smith Counselor 3766 Seguin Dr, Dallas, TX 75220-6329 2020-10-03
1659978849 Brian Williams Counselor 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 2020-10-01
1285241349 Nichole Gabrielle Brown Counselor 5045 Thunder Rd, Dallas, TX 75244-6546 2020-09-23
1366058588 Vicki Smith-lockhart Counselor 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 2020-09-22
1881206928 Angela Grace Leach Counselor 6511 Walnut Hill Ln, Dallas, TX 75230-5318 2020-08-19
1093324055 Alita Rose Andrews Counselor 3905 Highgrove Dr, Dallas, TX 75220-3753 2020-07-27
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Competitor

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City DALLAS
Zip Code 75243

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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.

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