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Organization

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL LUCKY (CHIEF EXECUTIVE OFFICER)
(469) 299-9373
Entity
Organization

Contact information

Practice address
8111 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 75251-1322
(214) 366-9407
Mailing address
8111 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 75251-1322
(214) 366-9407

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
163W00000X
Registered Nurse
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
2084P0800X
Psychiatry Physician
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/07/2020
Last updated
04/22/2022
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