FAITH RECOVERY TREATMENT CENTER (NPI# 1720591647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720591647 |
| Entity Type | Organization |
| Organization Name | FAITH RECOVERY TREATMENT CENTER |
| Practice Address |
3024 Mahanna Springs Dr Apt D Dallas TX 75235-8735 |
| Mailing Address |
3024 Mahanna Springs Drive Unit D Dallas TX 75235 |
| Practice Telephone | 2025205237 |
| Practice Fax Number | 8886399004 |
| Mailing Telephone | 2025205237 |
| Mailing Fax Number | 8886399004 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | SHANEKIA DYSHA SELBY (FOUNDER) |
| Authorized Official Telephone | 2025205237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities |
| Street Address |
3024 MAHANNA SPRINGS DR APT D |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043196 | Golden Gate Adult Rehabilitation Ministry | Clinic/Center | 1128 Reverend Cbt Smith St, Dallas, TX 75203-1536 | 2020-04-30 |
| 1043413966 | Osage Diagnostics | Clinic/Center | 9262 Forest Ln, Ste. 101b, Dallas, TX 75243-4207 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063994044 | Namaste Recovery Management LLC | Clinic/Center | 912 Glenda Dr, Bedford, TX 76022-7019 | 2018-09-05 |
| 1528264652 | Sanker International, Inc. | Clinic/Center | 106 S Old Betsy Rd Ste A, Keene, TX 76059-2466 | 2007-06-25 |
Please comment or provide details below to improve the information on FAITH RECOVERY TREATMENT CENTER.
| 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.