| Continuity Mental Health, Pllc | |
|
4213 Dickason Ave. Apt 28 Dallas TX 75219 | |
| (469) 678-8787 | |
| (866) 449-2950 |
| Full Name | Continuity Mental Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4213 Dickason Ave. Apt 28, Dallas, Texas |
| Authorized Official Name and Position | Arif Noorbaksh (PRESIDENT) |
| Authorized Official Contact | 7133984726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuity Mental Health, Pllc 4213 Dickason Ave Apt 28 Dallas TX 75219-3533 Ph: (713) 398-4726 | Continuity Mental Health, Pllc 4213 Dickason Ave. Apt 28 Dallas TX 75219 Ph: (469) 678-8787 |
| NPI Number | 1497507933 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 1557899556 |
|---|---|
| Medicare Enrollment ID | O20250304000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497507933 | NPI | - | NPPES |
| Provider Name | Kristen Vianey Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588158042 PECOS PAC ID: 6507118072 Enrollment ID: I20181010003390 |
| Provider Name | Andrea E Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225335110 PECOS PAC ID: 3577967710 Enrollment ID: I20210810001426 |
| Provider Name | Dana Ebeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114353588 PECOS PAC ID: 4082840673 Enrollment ID: I20210818000158 |
| Provider Name | Robin Alane Harp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508492513 PECOS PAC ID: 8921496225 Enrollment ID: I20211019000818 |
| Provider Name | Patricia J Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538824206 PECOS PAC ID: 7719376201 Enrollment ID: I20211123001875 |
| Provider Name | Kenneth Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639645039 PECOS PAC ID: 1658764568 Enrollment ID: I20220216002057 |
| Provider Name | Arif M Noorbaksh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275912255 PECOS PAC ID: 3678951464 Enrollment ID: I20220607002253 |
| Provider Name | Shaunae Tolson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720448905 PECOS PAC ID: 3274971387 Enrollment ID: I20240409003398 |
| Provider Name | Crispin Nmn Feliciano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205577616 PECOS PAC ID: 9335588052 Enrollment ID: I20240415001798 |
| Provider Name | Susan M Hogan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649452681 PECOS PAC ID: 4284073420 Enrollment ID: I20240419002324 |
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