MEDICARE: SEVEN PILLARS OF LIFE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	347E00000X	Transportation Broker
3	251B00000X	Case Management Agency
4	342000000X	Transportation Network Company
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	171M00000X	Case Manager/Care Coordinator
7	343900000X	Non-emergency Medical Transport (VAN)
8	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15158611	OTHER	TX	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992390652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN PILLARS OF LIFE LLC

Provider Business Mailing Address
First Line	:	6230 N BELT LINE RD STE 305
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2657
Country	:	US
Telephone Number	:	817-369-8214
Fax Number	:	682-333-0624

Provider Business Practice Location Address
First Line	:	6230 N BELT LINE RD STE 305
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2657
Country	:	US
Telephone Number	:	817-369-8214
Fax Number	:	682-333-0624

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SOPHIA DINWIDDIE DONALD
Credential	:
Telephone Number	:	817-369-8214

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	05/20/2026

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Directions to “SEVEN PILLARS OF LIFE LLC ” Practice Location

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