MEDICARE: BASEPOINT ACADEMY, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1750011359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASEPOINT ACADEMY, LLC

Provider Business Mailing Address
First Line	:	711 W BROAD ST
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-9130
Country	:	US
Telephone Number	:	972-325-2633
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 ARLINGTON HIGHLANDS BLVD STE 237
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-6040
Country	:	US
Telephone Number	:	972-325-2633
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE CYCLE
Name	:	MRS. NANCY LOPEZ-DELGADO
Credential	:
Telephone Number	:	972-325-2633

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	01/28/2026

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