Healthcare Provider Details

I. General information

NPI: 1639041908
Provider Name (Legal Business Name): ASCENT HEALTHCARE TEXAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 INTERNATIONAL PKWY STE 1010
PLANO TX
75093-8346
US

IV. Provider business mailing address

5473 BLAIR RD STE 100 NUM 948792
DALLAS TX
75231
US

V. Phone/Fax

Practice location:
  • Phone: 972-267-1988
  • Fax: 972-267-3434
Mailing address:
  • Phone: 817-944-9419
  • Fax: 972-267-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. BRITTANY SPERRY
Title or Position: CHIEF CLINICAL OFFICER
Credential:
Phone: 972-267-1988