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NPI Code Detail

MEDICARE: ADDICTION TREATMENT RESOURCES INC

MEDICARE: ADDICTION TREATMENT RESOURCES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor6388TX

General Provider Information

NPI Number : 1124570114
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION TREATMENT RESOURCES INC
Provider Business Mailing Address
First Line : 1505 HARROUN AVE
Second Line : F
City : MCKINNEY
State : TX
Zip : 75069-3432
Country : US
Telephone Number : 817-856-9926
Fax Number : 888-242-9976
Provider Business Practice Location Address
First Line : 930 W. PARKER RD
Second Line : STE. 530A
City : PLANO
State : TX
Zip : 75075
Country : US
Telephone Number : 817-856-9926
Fax Number : 888-242-9976
Authorized Official
Title or Position : CREDENTIALING CLERK
Name : MRS. BARBARA SHELTON
Credential :
Telephone Number : 903-422-0429
Provider Enumeration Date : 10/26/2016
Last Update Date : 12/29/2022

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Directions to “ADDICTION TREATMENT RESOURCES INC ” Practice Location

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