ON EPIPHANY LANE, LLC (NPI# 1891396313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891396313 |
| Entity Type | Organization |
| Organization Name | ON EPIPHANY LANE, LLC |
| Practice Address |
603 Munger Ave Ste 100 Dallas TX 75202-1840 |
| Mailing Address |
603 Munger Ave # 100-239 Dallas TX 75202-1839 |
| Practice Telephone | 2145600304 |
| Mailing Telephone | 2145600304 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | TIFFANY NEULENE LINDLEY (MANAGING MEMBER) |
| Authorized Official Telephone | 2145600304 |
| Authorized Official Credential | LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1215272737 | 01 |
| Other Name | Type Code |
|---|---|
| Epiphany Lane Counseling | Doing Business As Name - Organization |
| Street Address |
603 MUNGER AVE STE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75202-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1871925982 | Lew Sterrett Justice Center Pharmacy | Pharmacy | 113 W Commerce, Dallas, TX 75202 | 2013-07-31 |
| 1790001683 | Andrew Paul Schade | Psychologist | 1412 Main St., Suite 320, Dallas, TX 75202 | 2010-04-16 |
| 1912199969 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Main Street, Dallas, TX 75202 | 2007-08-14 |
| 1801991518 | Kay Karen Redwine | Nurse Practitioner | 703 Mckinney Avenue, Suite 433, Dallas, TX 75202 | 2006-09-14 |
| 1922544113 | Michael Jafarzadeh | Psychologist | 1412 Main St, Ste. 320, Dallas, TX 75202 | 2017-01-11 |
| 1730263765 | Keith W Brewster | Dentist | 1717 Main St, Suite 2480, Dallas, TX 75202 | 2006-10-25 |
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1477534014 | Michael Howard Langfus | Physician Assistant | 703 Mckinney Ave, Dallas, Dallas, TX 75202-1007 | 2005-11-10 |
| 1265733547 | Local Doctor Housecall | General Practice | 703 Mckinney Ave, Suite 421, Dallas, TX 75202-1007 | 2010-11-03 |
| Find all providers in zip 75202 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1770143315 | The Kingsley Clinic Pllc | Clinic/Center | 14180 Dallas Pkwy Ste 620, Dallas, TX 75254-4363 | 2019-06-17 |
| 1093277071 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 208 S Akard St Ste PC-50, Dallas, TX 75202-4206 | 2019-04-01 |
| 1932660636 | 365 Health, Pllc | Clinic/Center | 6060 N Central Expy Ste 424, Dallas, TX 75206-5298 | 2019-03-26 |
| 1083173652 | Prime Care Health Solutions LLC | Clinic/Center | 13601 Preston Rd Ste 520, Dallas, TX 75240-4911 | 2019-03-13 |
| 1104390533 | Finding Home Healthcare, Inc. | Clinic/Center | 6606 Lbj Fwy Ste 110, Dallas, TX 75240-6552 | 2019-01-18 |
| 1730669805 | His Sacred Path Midwifery | Clinic/Center | 350 N Saint Paul St Apt 2610, Dallas, TX 75201-4224 | 2018-08-17 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1689181455 | Asb Doctors Alliance Inc | Clinic/Center | 10935 Estate Ln Ste S106, Dallas, TX 75238-2316 | 2018-01-03 |
| 1154833317 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 2001 Ross Ave Ste 2800, Dallas, TX 75201-2930 | 2017-10-27 |
| 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.