MEDICARE: THREE LIGHTS COMMUNITY HEALTH OUTREACH CLINIC INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist
2	101YP2500X	Professional Counselor
3	364SF0001X	Family Health Clinical Nurse Specialist

General Provider Information

NPI Number	:	1275472862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE LIGHTS COMMUNITY HEALTH OUTREACH CLINIC INC

Provider Business Mailing Address
First Line	:	1017 BURNET DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-2696
Country	:	US
Telephone Number	:	214-962-4537
Fax Number	:	972-544-1517

Provider Business Practice Location Address
First Line	:	1017 BURNET DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-2696
Country	:	US
Telephone Number	:	214-962-4537
Fax Number	:	972-544-1517

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. HASSANATU MICHAEL
Credential	:	MICHAEL
Telephone Number	:	214-962-4537

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

Similar Medicare Providers

1104010123 — MS. FINDA SEBBA KOROMA LVN
Practice Location Address:

1045 BURNET DR
MESQUITE, TX
75181-2696

Practice Phone: 214-417-3529
Practice Fax: 972-222-3196

1760753594 — NEW COVENANT HOME HEALTH SERVICES LLC
Practice Location Address:

1017 BURNET DR
MESQUITE, TX
75181-2696

Practice Phone: 214-463-3540
Practice Fax:

1861892333 — HASSANATU MICHAEL NP
Practice Location Address:

1017 BURNET DR
MESQUITE, TX
75181-2696

Practice Phone: 214-962-4537
Practice Fax: 972-803-3333

1649806001 — SALONE BEHAVIORAL HEALTH PLLC
Practice Location Address:

1017 BURNET DR
MESQUITE, TX
75181-2696

Practice Phone: 214-962-4537
Practice Fax:

1609681121 — CHINAT HOME HEALTHCARE AGENCY LLC
Practice Location Address:

1017 BURNET DR
MESQUITE, TX
75181-2696

Practice Phone: 214-962-4537
Practice Fax:

1477515534 — MARTIN JOHN DESCHNER PHD
Practice Location Address:

3500 INTERSTATE 30 , SUITE B-240
MESQUITE, TX
75150-2696

Practice Phone: 972-681-7246
Practice Fax: 972-681-1079

Directions to “THREE LIGHTS COMMUNITY HEALTH OUTREACH CLINIC INC ” 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.