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NPI Code Detail

MEDICARE: BHG LXXXVIII, LLC

MEDICARE: BHG LXXXVIII, 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2103TA0400XAddiction (Substance Use Disorder) Psychologist
3207QA0401XAddiction Medicine (Family Medicine) Physician
4207RA0401XAddiction Medicine (Internal Medicine) Physician
52083A0300XAddiction Medicine (Preventive Medicine) Physician
62084A0401XAddiction Medicine (Psychiatry & Neurology) Physician
7363L00000XNurse Practitioner
8363LP0808XPsychiatric/Mental Health Nurse Practitioner
9261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1609586684
Entity Type Code : Organization
Provider Name (Legal Business Name) : BHG LXXXVIII, LLC
Provider Business Mailing Address
First Line : 5001 SPRING VALLEY ROAD
Second Line : SUITE 600 EAST
City : DALLAS
State : TX
Zip : 75244-3946
Country : US
Telephone Number : 214-365-6100
Fax Number : 214-365-6150
Provider Business Practice Location Address
First Line : 1320 MARION BARRY AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6912
Country : US
Telephone Number : 202-610-1886
Fax Number : 202-610-1887
Authorized Official
Title or Position : CEO
Name : JAY HIGHAM
Credential :
Telephone Number : 214-365-6112
Provider Enumeration Date : 11/30/2022
Last Update Date : 03/26/2025

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