Organization
INFINITE POTENTIAL BEHAVIORAL HEALTH SERVICES, PLLC
Active
Organization
INFINITE POTENTIAL BEHAVIORAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALANDA NICHELLE GORDON PH.D. (OWNER/CLINICAL DIRECTOR)
(214) 396-9699
Entity
Organization
Contact information
Practice address
4100 SPRING VALLEY RD STE 320, DALLAS, TX 75244-3629
(214) 396-9699
(844) 895-4585
Mailing address
4100 SPRING VALLEY RD STE 320, DALLAS, TX 75244-3629
(214) 396-9699
(844) 895-4585
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
34687
TX
103T00000X
Psychologist
34687
TX
103TC0700X
Clinical Psychologist
34687
TX
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up