Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KIDS CAN FLY FOUNDATION
Active
Organization
KIDS CAN FLY FOUNDATION
Active
Other names
Riverson House, Hallie House, Pine Mountain Ranch, KCF Counseling Cent
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H. O'NEAL LPC, LMFT (EXECUTIVE DIRECTOR/ ADMINISTRATOR)
(817) 807-5932
Entity
Organization
Contact information
Practice address
1201 W NORTH CARRIER PKWY, GRAND PRAIRIE, TX 75050-8102
(817) 807-5932
(972) 377-6091
Mailing address
1101 CRAZY HORSE TRL, BURLESON, TX 76028-7845
(817) 807-5932
(972) 377-6091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 959
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC 959
TX
101YM0800X
Mental Health Counselor
LPC 959
TX
101YP2500X
Professional Counselor
Primary
LPC 959
TX
106H00000X
Marriage & Family Therapist
LMFT 469
TX
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up