=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649789785
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A VOICE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2017
-----------------------------------------------------
Last Update Date | 02/17/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3662 W CAMP WISDOM RD STE 2044
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75237-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-556-3954
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3662 W CAMP WISDOM RD STE 2044
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75237-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-556-3954
-----------------------------------------------------
Fax | 469-533-1933
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/PROGRAM DIRECTOR
-----------------------------------------------------
Name | MR. CHARLES HUDSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 469-556-3954
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------