Organization
GIFTED SOULS MENTAL HEALTH COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE LAMONT MAYO (CEO)
(214) 731-6838
Entity
Organization
Contact information
Practice address
5001 CROZIER ST, DALLAS, TX 75215-4607
(214) 723-0529
Mailing address
5001 CROZIER ST, DALLAS, TX 75215-4607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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