| Behavioral Health Providers | |
|
8390 Lbj Freeway Suite 1000 Dallas TX 75243-1288 | |
| (214) 361-2100 | |
| (214) 361-2145 |
| Full Name | Behavioral Health Providers |
|---|---|
| Speciality | Psychologist |
| Location | 8390 Lbj Freeway, Dallas, Texas |
| Authorized Official Name and Position | Nicole M Mangum (PSYCHOLOGIST) |
| Authorized Official Contact | 2143612100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Providers P.o. Box 537 Sulphur Springs TX 75483-0537 Ph: (214) 361-2100 | Behavioral Health Providers 8390 Lbj Freeway Suite 1000 Dallas TX 75243-1288 Ph: (214) 361-2100 |
| NPI Number | 1922317858 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 2365767589 |
|---|---|
| Medicare Enrollment ID | O20150211000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922317858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33427 (Texas) | Primary |
| Provider Name | Desiree W Kilcrease Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043211774 PECOS PAC ID: 2466492244 Enrollment ID: I20131231001105 |
| Provider Name | Tricia Favre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073789459 PECOS PAC ID: 3274766829 Enrollment ID: I20140506000310 |
| Provider Name | Nicole M Mangum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790727451 PECOS PAC ID: 7416131099 Enrollment ID: I20150211000744 |
| Provider Name | Adami Gabriel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710285440 PECOS PAC ID: 3173848140 Enrollment ID: I20150216000067 |
| Provider Name | Jennifer Isabelle Caussade Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730640442 PECOS PAC ID: 9537400890 Enrollment ID: I20190415001081 |
| Provider Name | Debora Beth Reinhardt Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730671413 PECOS PAC ID: 8527390814 Enrollment ID: I20191106002012 |
| Provider Name | Elmira Maffei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851978704 PECOS PAC ID: 8426457151 Enrollment ID: I20210528000447 |
| Provider Name | Phil G Bohart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508897885 PECOS PAC ID: 9436179744 Enrollment ID: I20240104003272 |
Metrocare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 | |
Developmental Pathways Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Saint Paul St Ste 3100, Dallas, TX 75201 Phone: 214-432-3777 Fax: 800-434-3012 |