# CANVAS CLINIC MANAGEMENT, LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932972494
- **Authorized official:** MRS. ASHLEY STAFFORD LCSW-S (FOUNDER/DIRECTOR)
- **Authorized official phone:** (214) 674-0798

## Contact information

- **Practice address:** 1550 NORWOOD DR STE 313, HURST, TX 76054-3653
- **Practice address phone:** (817) 394-2346
- **Practice address fax:** (817) 986-0540
- **Mailing address:** 5473 BLAIR RD STE 100, DALLAS, TX 75231-4227
- **Mailing address phone:** (817) 394-2346
- **Mailing address fax:** (817) 986-0540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023