Organization
ASSURASOURCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SANTELLANA (CLAIMS DIRECTOR)
(972) 233-1010
Entity
Organization
Contact information
Practice address
6600 CHASE OAKS BLVD STE 150, PLANO, TX 75023-2383
(972) 233-1010
(214) 623-6692
Mailing address
6600 CHASE OAKS BLVD STE 150, PLANO, TX 75023-2383
(972) 233-1010
(214) 623-6692
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191481401
—
TX
Enumeration date
07/23/2006
Last updated
04/10/2026
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