NPI Code Details Logo

NPI 1265383525

NPI 1265383525 : CARRUS BEHAVIORAL HOSPITAL LLC : SOUTHLAKE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265383525
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CARRUS BEHAVIORAL HOSPITAL LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/04/2026
-----------------------------------------------------
    Last Update Date     |    02/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    600 W SOUTHLAKE BLVD STE 120 
-----------------------------------------------------
    City                 |    SOUTHLAKE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76092-6072
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    817-587-0090
-----------------------------------------------------
    Fax                  |    817-587-0089
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1810 W US HIGHWAY 82 
-----------------------------------------------------
    City                 |    SHERMAN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75092-7069
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    903-870-2745
-----------------------------------------------------
    Fax                  |    903-870-2795
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHAIRMAN & CEO
-----------------------------------------------------
    Name                 |    MR. ANBARASU  NACHIMUTHU 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    903-870-2745
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0855X
-----------------------------------------------------
    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.