Pelican Bayou Counseling Agency-texas
Community/Behavioral Health

Address: 1111 W Mockingbird Ln Ste 7-2, Dallas, TX 75247-5028
Phone: 3188618938

Pelican Bayou Counseling Agency-texas (NPI# 1578169306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578169306
Entity Type Organization
Organization Name PELICAN BAYOU COUNSELING AGENCY-TEXAS
Practice Address 1111 W Mockingbird Ln Ste 7-2
Dallas
TX 75247-5028
Practice Telephone 3188618938
Mailing Address 9403 Mansfield Rd
Shreveport
LA 71118-3815
Mailing Telephone 3188618938
Authorized Official Name Mrs. Brittney Jewitt (CEO)
Authorized Official Telephone 3184701632
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name PELICAN BAYOU COUNSELING AGENCY INC.
Enumeration Date 2020-12-08
Last Update Date 2020-12-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 1111 W MOCKINGBIRD LN STE 7-2
City DALLAS
State TX
Zip Code 75247-5028

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NPI Name Taxonomy Address Enumeration
1558973842 Paramount Medical Rehabilitation LLC Clinic/Center 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 2020-08-19
1750916144 Sunshine Kids Pediatric Day Center, LLC Nursing Care 9127-9131 King Arthur Boulevard, Dallas, TX 75247 2020-03-06
1740789924 Jennifer Pauli Nurse Practitioner 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 2018-02-02
1669991097 Kai Medical Laboratories, LLC Pathology 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 2017-09-18
1174055610 Hoa Perkins Technician/Technologist 1499 Regal Row Suite 505a, Dallas, TX 75247 2017-04-03
1376910018 Integron LLC Clinical Medical Laboratory 5139 Sharp Street, Dallas, TX 75247 2015-08-28
1710364575 T.e.a.m. Community/Behavioral Health 1140 Empire Central Blvd, 520, Dallas, TX 75247 2015-04-30
1093053126 Guardian Health Systems Aurora Pharmacy 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 2013-01-24
1457665317 Pediatric Home Healthcare, LLC Home Health 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 2010-08-03
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Competitor

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City DALLAS
Zip Code 75247

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.