=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326996190
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BASEPOINT ACADEMY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2026
-----------------------------------------------------
Last Update Date | 03/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8479 DAVIS BLVD STE 100
-----------------------------------------------------
City | NORTH RICHLAND HILLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76182-8613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-325-2633
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8479 DAVIS BLVD STE 100
-----------------------------------------------------
City | NORTH RICHLAND HILLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76182-8613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-325-2633
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | REVENUE CYCLE MANAGER
-----------------------------------------------------
Name | DEITA BARNETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-546-0628
-----------------------------------------------------
=====================================================
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 |
-----------------------------------------------------