MENTAL EDGE LLC (NPI# 1780057745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780057745 |
| Entity Type | Organization |
| Organization Name | MENTAL EDGE LLC |
| Practice Address |
8722 Greenville Ave Suite 102 Dallas TX 75243-7167 |
| Practice Telephone | 2144667222 |
| Practice Fax Number | 2144667220 |
| Mailing Telephone | 2144667222 |
| Mailing Fax Number | 2144667220 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | BRIAN MICHAEL RATZER (OWNER) |
| Authorized Official Telephone | 2144667222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
TX | Ambulatory Health Care Facilities |
| Street Address |
8722 GREENVILLE AVE SUITE 102 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912092156 | Paul Terrence Moore | Specialist | 8722 Greenville Ave, Bldg. E Suite 102, Dallas, TX 75243-7167 | 2006-10-04 |
| 1922473651 | P Terrence Moore Md Pa | Psychiatry & Neurology | 8722 Greenville Ave, Suite 102, Dallas, TX 75243-7167 | 2015-12-07 |
| 1497048466 | Somnologix | Clinic/Center | 8722 Greenville Ave, Bldg. E, Suite102 Lb11, Dallas, TX 75243-7167 | 2011-05-24 |
| 1952536757 | Dallas Vein Specialists, Pa | Phlebology | 8722 Greenville Ave, Suite 101, Dallas, TX 75243-7167 | 2009-05-21 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407408255 | Singularity Medical Group Pllc | Clinic/Center | 1919 Mckinney Ave # 2085, Dallas, TX 75201-1753 | 2019-07-11 |
| 1982982195 | Lonestar Housecall Physicians Pllc | Clinic/Center | 8150 Brookriver Dr Ste 303, Dallas, TX 75247-4055 | 2011-07-22 |
| 1508162033 | Delphi Health Partners, Inc. | Clinic/Center | 2911 Turtle Creek Blvd Ste 300, Dallas, TX 75219-6243 | 2011-01-31 |
| 1285942086 | Premier Hearing and Health Services Inc | Clinic/Center | 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 | 2010-09-15 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1487280327 | Radishing Recovery Nutrition Counseling | Clinic/Center | 9535 Forest Ln, Dallas, TX 75243-5900 | 2020-03-22 |
| 1487144051 | Occupational Health Center of The Southwest | Clinic/Center | 1450 Empire Central Dr Ste 100, Dallas, TX 75247-4081 | 2018-05-18 |
| 1952762460 | Sls Therapy, Pllc | Clinic/Center | 9026 Longmont Dr, Dallas, TX 75238-3540 | 2016-03-10 |
| 1558742924 | Hampton Medical Clinic Management LLC | Clinic/Center | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2015-06-11 |
| 1730583345 | Aesthetic Institute of Dallas | Clinic/Center | 5949 Sherry Ln, Suite 1220, Dallas, TX 75225-6532 | 2014-10-10 |
| 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.