Organization
LIFE 2.0 BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY JOHNSON (CEO)
(469) 222-1200
Entity
Organization
Contact information
Practice address
1801 N HAMPTON RD STE 300, DESOTO, TX 75115-2399
(469) 222-1200
(214) 432-1700
Mailing address
1801 N HAMPTON RD STE 300, DESOTO, TX 75115-2399
(469) 222-1200
(214) 432-1700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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