Healthcare Provider Details

I. General information

NPI: 1508432642
Provider Name (Legal Business Name): NORTH TEXAS BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2021
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 REPUBLIC PKWY
MESQUITE TX
75150-6903
US

IV. Provider business mailing address

249 BENWICK DR
SUNNYVALE TX
75182-3256
US

V. Phone/Fax

Practice location:
  • Phone: 214-957-3358
  • Fax: 972-803-5317
Mailing address:
  • Phone: 817-835-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ODOCHI ONUNGWA
Title or Position: CEO
Credential: DNP
Phone: 817-845-3818