Healthcare Provider Details

I. General information

NPI: 1508702739
Provider Name (Legal Business Name): NORTH STAR BEHAVIORAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 W LASTING SPRING CIR
SPRING TX
77389-4328
US

IV. Provider business mailing address

63 W LASTING SPRING CIR
SPRING TX
77389-4328
US

V. Phone/Fax

Practice location:
  • Phone: 346-329-6516
  • Fax:
Mailing address:
  • Phone: 346-329-6516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN HAWKINS
Title or Position: CEO
Credential:
Phone: 346-329-6516