Healthcare Provider Details

I. General information

NPI: 1255577318
Provider Name (Legal Business Name): TEXAS TREATMENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HEMPHILL ST STE A
FORT WORTH TX
76104-3105
US

IV. Provider business mailing address

7136 S YALE AVE
TULSA OK
74136-6373
US

V. Phone/Fax

Practice location:
  • Phone: 817-334-0111
  • Fax: 817-334-0249
Mailing address:
  • Phone: 817-334-0111
  • Fax: 817-334-0249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: SCOTT THOMPSON
Title or Position: CEO
Credential:
Phone: 918-289-0270