MEDICARE: TAF GROUP, 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	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	2237A	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202461000	OTHER	TX	MAGELLAN
2	5803588	OTHER	TX	AETNA
3	HH5094	OTHER	TX	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154378925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAF GROUP, LLC

Provider Business Mailing Address
First Line	:	12 MEDICAL DR
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-4136
Country	:	US
Telephone Number	:	806-356-0404
Fax Number	:	805-356-0590

Provider Business Practice Location Address
First Line	:	12 MEDICAL DR
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-4136
Country	:	US
Telephone Number	:	806-356-0404
Fax Number	:	805-356-0590

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LUKAS R DAY
Credential	:
Telephone Number	:	806-356-0404

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	12/10/2025

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6 MEDICAL DR
AMARILLO, TX
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Directions to “TAF GROUP, LLC ” Practice Location

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