MEDICARE: REMISSION HEALTH 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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1205649100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMISSION HEALTH LLC

Provider Business Mailing Address
First Line	:	5409 GREENVILLE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-2908
Country	:	US
Telephone Number	:	469-972-5649
Fax Number	:

Provider Business Practice Location Address
First Line	:	5409 GREENVILLE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-2908
Country	:	US
Telephone Number	:	972-515-3396
Fax Number	:

Authorized Official
Title or Position	:	PMHNP-BC
Name	:	AMBER RAE MYERS
Credential	:	APRN
Telephone Number	:	469-972-5649

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	12/05/2025

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Directions to “REMISSION HEALTH LLC ” Practice Location

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