LIFENET (NPI# 1205195302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
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 |
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 |
Street Address |
9708 SKILLMAN ST |
City | DALLAS |
State | TX |
Zip Code | 75243-5150 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 75243 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on LIFENET.
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.