MEDICARE: CARRUS BEHAVIORAL HOSPITAL 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	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1891657037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARRUS BEHAVIORAL HOSPITAL LLC

Provider Business Mailing Address
First Line	:	1810 W US HIGHWAY 82
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7069
Country	:	US
Telephone Number	:	903-870-2745
Fax Number	:	903-870-2795

Provider Business Practice Location Address
First Line	:	4561 HERITAGE TRACE PKWY STE 109
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-8907
Country	:	US
Telephone Number	:	817-678-1112
Fax Number	:	817-678-1113

Authorized Official
Title or Position	:	CHAIRMAN & CEO
Name	:	MR. ANBARASU NACHIMUTHU
Credential	:
Telephone Number	:	903-870-2745

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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