Healthcare Provider Details
I. General information
NPI: 1346849601
Provider Name (Legal Business Name): INDEPENDENCE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2020
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 TRUMAN RD
ARGYLE TX
76226
US
IV. Provider business mailing address
2650 FM 407 E STE 145
ARGYLE TX
76226-7014
US
V. Phone/Fax
- Phone: 940-300-5973
- Fax:
- Phone: 940-300-5973
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
CURRIN
Title or Position: OWNER / PRESIDENT
Credential: PH.D.
Phone: 940-300-5973