MEDICARE: CLEARVIEW BEHAVIORAL HEALTH OF TEXAS

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
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1720818305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARVIEW BEHAVIORAL HEALTH OF TEXAS

Provider Business Mailing Address
First Line	:	13601 PRESTON RD STE 541W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5348
Country	:	US
Telephone Number	:	214-283-5609
Fax Number	:

Provider Business Practice Location Address
First Line	:	13601 PRESTON RD STE 541W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5348
Country	:	US
Telephone Number	:	214-283-5609
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. CLAIBORNE WATKINS
Credential	:	MBA
Telephone Number	:	214-283-5609

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	09/03/2024

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