NPI Code Details Logo

NPI 1295626794

NPI 1295626794 : SERVING WITH A PURPOSE : DUNCANVILLE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295626794
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SERVING WITH A PURPOSE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/12/2025
-----------------------------------------------------
    Last Update Date     |    07/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    210 E CENTER ST 
-----------------------------------------------------
    City                 |    DUNCANVILLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75116-4851
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-739-8491
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    107 S ALEXANDER AVE 
-----------------------------------------------------
    City                 |    DUNCANVILLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75116-4003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-739-8491
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER/PRESIDENT
-----------------------------------------------------
    Name                 |    DR. MELISSA  TONEY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    469-739-8491
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    174200000X
-----------------------------------------------------
    Taxonomy Name        |    Meals Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251V00000X
-----------------------------------------------------
    Taxonomy Name        |    Voluntary or Charitable Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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