INFINITY COUNSELING & ASSESSMENT CENTER


Address: 200 S 14th St Ste 150, Midlothian, TX 76065-3361
Phone: 9729975139

INFINITY COUNSELING & ASSESSMENT CENTER (NPI# 1629682968) 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) 1629682968
Entity Type Organization
Organization Name INFINITY COUNSELING & ASSESSMENT CENTER
Practice Address 200 S 14th St Ste 150
Midlothian
TX 76065-3361
Mailing Address 1601 Granite Way
Waxahachie
TX 75165-1274
Practice Telephone 9729975139
Practice Fax Number 9728480691
Mailing Telephone 9723516049
Enumeration Date 2020-09-03
Last Update Date 2020-09-03
Authorized Official Name DR. JACQUELINE ANN RODGERS (OWNER/LICENSED PROFESSIONAL COUNSEL)
Authorized Official Telephone 9729975169
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 200 S 14TH ST STE 150
City MIDLOTHIAN
State TX
Zip Code 76065-3361

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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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Competitor

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City MIDLOTHIAN
Zip Code 76065

Improve Information

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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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