# K-NATION GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386336261
- **Authorized official:** DR. ALEXIS MASTON PHD (CEO)
- **Authorized official phone:** (512) 574-8840

## Contact information

- **Practice address:** 9535 FOREST LN STE 124, DALLAS, TX 75243-5910
- **Practice address phone:** (512) 574-8840
- **Mailing address:** 801 SMOTHERMON FARM RD, LITTLE ELM, TX 75068-1009
- **Mailing address phone:** (512) 574-8840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 09/05/2023