# DOMINION OF BREHAVIORAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1972354611
- **Authorized official:** NIKKI WARNER (CO OWNER)
- **Authorized official phone:** (469) 245-2369

## Contact information

- **Practice address:** 4100 SPRING VALLEY STE 510, DALLAS, TX 75244-3608
- **Practice address phone:** (469) 245-2369
- **Mailing address:** 4100 SPRING VALLEY STE 510, DALLAS, TX 75244-3608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 03/29/2024
- **Last updated:** 03/29/2024