Organization
NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL E. LUCKY (CHIEF EXECUTIVE OFFICER)
(214) 299-9373
Entity
Organization
Contact information
Practice address
8111 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 75251-1322
(214) 366-9407
(214) 366-9417
Mailing address
8111 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 75251-1322
(469) 845-9857
(469) 972-0031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011556147
DUNS NUMBER
TX
Enumeration date
09/23/2015
Last updated
06/12/2024
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