MEDICARE: LONESTAR MENTAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1124842620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONESTAR MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 13541
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 N CENTRAL EXPY STE 900 OFFICE 359
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2102
Country	:	US
Telephone Number	:	737-888-5592
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	TAYLOR CAVENDER
Credential	:
Telephone Number	:	737-888-5592

Provider Enumeration Date	:	11/12/2024
Last Update Date	:	03/03/2026

Similar Medicare Providers

1174527964 — BENJAMIN KIM M.D.
Practice Location Address:

4131 N CENTRAL EXPY , STE 435
DALLAS, TX
75204-2102

Practice Phone: 214-826-6500
Practice Fax:

1336144724 — MICHAEL ALLISON M.D.
Practice Location Address:

4131 N CENTRAL EXPY , STE 435
DALLAS, TX
75204-2102

Practice Phone: 214-252-3501
Practice Fax:

1386649218 — AL MOORE M.D.
Practice Location Address:

4131 N CENTRAL EXPY , STE 435
DALLAS, TX
75204-2102

Practice Phone: 214-252-3501
Practice Fax:

1669425112 — METROPOLITAN ANESTHESIA CONSULTANTS, PA
Practice Location Address:

4131 N CENTRAL EXPY , SUITE 435
DALLAS, TX
75204-2102

Practice Phone: 214-252-3501
Practice Fax:

1255378691 — MICHAEL SHANE KOHANSKI M.D.
Practice Location Address:

4131 N CENTRAL EXPY , SUITE 435
DALLAS, TX
75204-2102

Practice Phone: 214-252-3501
Practice Fax:

1376583955 — DR. JEFFREY LIDDELL M.D.
Practice Location Address:

4131 N CENTRAL EXPY , SUITE 440 - FITZHUGH-CENTRAL PROFESSIONAL TOWER
DALLAS, TX
75204-2102

Practice Phone: 214-521-3091
Practice Fax: 214-521-2182

Directions to “LONESTAR MENTAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.