MEDICARE: BEHAVIORAL HEALTH OF NORTH TEXAS LLP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TA0700X	Adult Development & Aging Psychologist
3	103TP0814X	Psychoanalysis Psychologist
4	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician
5	103TB0200X	Cognitive & Behavioral Psychologist
6	103TP0016X	Prescribing (Medical) Psychologist

General Provider Information

NPI Number	:	1699328195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL HEALTH OF NORTH TEXAS LLP

Provider Business Mailing Address
First Line	:	265 BROOKVIEW CENTRE WAY STE 400
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4052
Country	:	US
Telephone Number	:	865-693-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 WALNUT HILL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4496
Country	:	US
Telephone Number	:	865-693-1000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LANCE WILLIAMS
Credential	:	MD
Telephone Number	:	954-377-2909

Provider Enumeration Date	:	07/23/2019
Last Update Date	:	09/04/2024

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