| A-1 Behavioral Health Services Pllc | |
|
3740 N Josey Ln Carrollton TX 75007-2474 | |
| (817) 881-4801 | |
| Not Available |
| Full Name | A-1 Behavioral Health Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3740 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Joy O Ichie (NURSE PRACTITIONER) |
| Authorized Official Contact | 8178814801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A-1 Behavioral Health Services Pllc Po Box 2723 Frisco TX 75034-0051 Ph: (817) 881-4801 | A-1 Behavioral Health Services Pllc 3740 N Josey Ln Carrollton TX 75007-2474 Ph: (817) 881-4801 |
| NPI Number | 1497386882 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Medicare PECOS PAC ID | 2961833926 |
|---|---|
| Medicare Enrollment ID | O20200507002866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497386882 | NPI | - | NPPES |
| 1972054450 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joy O Ichie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054450 PECOS PAC ID: 9032490586 Enrollment ID: I20161221001838 |
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