| Lovebond Community Outreach | |
|
9101 Lyndon B Johnson Fwy Ste 600 Dallas TX 75243-2055 | |
| (469) 709-8977 | |
| (469) 779-7003 |
| Full Name | Lovebond Community Outreach |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9101 Lyndon B Johnson Fwy Ste 600, Dallas, Texas |
| Authorized Official Name and Position | Kenya Trammell Garcia (CEO) |
| Authorized Official Contact | 9723390333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovebond Community Outreach 9101 Lyndon B Johnson Fwy Ste 600 Dallas TX 75243-2055 Ph: (469) 709-8977 | Lovebond Community Outreach 9101 Lyndon B Johnson Fwy Ste 600 Dallas TX 75243-2055 Ph: (469) 709-8977 |
| NPI Number | 1730545609 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730545609 | NPI | - | NPPES |
| 251B00000X | Medicaid | TX | |
| 193400000X | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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