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General NPI Number Information
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NPI Number | 1750407250
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Entity Type | Organization
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Legal Business Name | YOUTH180, INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 201 S TYLER ST
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City | DALLAS
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State | TX
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Zip | 75208-4934
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Country | US
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Telephone | 214-942-5166
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Fax | 214-942-6006
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN STE C410
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City | DALLAS
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State | TX
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Zip | 75230-2599
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Country | US
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Telephone | 972-566-4680
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Fax | 972-566-6378
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Authorized Official
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Title or Position | PRESIDENT-CEO
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Name | MS. KERI STITT
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Credential |
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Telephone | 972-746-6381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 2426-2426A
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License Number State | TX
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