MEDICARE: DALLAS COUNTY MHMR

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	251B00000X	Case Management Agency
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	137252606	OTHER	TX	REHAB TPI NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780805549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS COUNTY MHMR

Provider Business Mailing Address
First Line	:	3242 REMOND DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1619
Country	:	US
Telephone Number	:	214-743-1200
Fax Number	:	214-689-6482

Provider Business Practice Location Address
First Line	:	3242 REMOND DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1619
Country	:	US
Telephone Number	:	214-743-1200
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	KELLI LAOS
Credential	:
Telephone Number	:	214-743-1200

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	03/31/2026

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Directions to “DALLAS COUNTY MHMR ” Practice Location

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