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NPI Code Detail

MEDICARE: SUNSPIRE HEALTH TEXAS LLC

MEDICARE: SUNSPIRE HEALTH TEXAS LLC
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1164138715
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSPIRE HEALTH TEXAS LLC
Provider Business Mailing Address
First Line : 19820 N 7TH ST STE 205
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-1694
Country : US
Telephone Number : 928-267-2460
Fax Number : 623-581-7624
Provider Business Practice Location Address
First Line : 17101 PRESTON RD STE 120
Second Line :
City : DALLAS
State : TX
Zip : 75248-1369
Country : US
Telephone Number : 928-267-2460
Fax Number : 623-581-7624
Authorized Official
Title or Position : VICE PRESIDENT REVENUE CYCLE
Name : MS. TRACY LIVINGSTON
Credential :
Telephone Number : 602-256-3020
Provider Enumeration Date : 01/26/2023
Last Update Date : 01/23/2026

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Directions to “SUNSPIRE HEALTH TEXAS LLC ” Practice Location

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