MEDICARE: NEW MIND RECOVERY 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1316891625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MIND RECOVERY LLC

Provider Business Mailing Address
First Line	:	1400 HI LINE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-3435
Country	:	US
Telephone Number	:	804-852-0406
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 HI LINE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-3435
Country	:	US
Telephone Number	:	804-852-0406
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	OSCAR BYRD
Credential	:
Telephone Number	:	804-414-5799

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/25/2026

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