| Heritage Behavioral Center | |
|
2222 W Spring Creek Pkwy Ste. 116 Plano TX 75023-4183 | |
| (972) 964-3214 | |
| (972) 964-3044 |
| Full Name | Heritage Behavioral Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2222 W Spring Creek Pkwy, Plano, Texas |
| Authorized Official Name and Position | Miles I Morrison (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9729643214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Behavioral Center 2222 W Spring Creek Pkwy Ste. 116 Plano TX 75023-4183 Ph: (972) 964-3214 | Heritage Behavioral Center 2222 W Spring Creek Pkwy Ste. 116 Plano TX 75023-4183 Ph: (972) 964-3214 |
| NPI Number | 1417030768 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 9436460813 |
|---|---|
| Medicare Enrollment ID | O20150626000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417030768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 009617 (Texas) | Primary |
| Provider Name | Sandra Walton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689707531 PECOS PAC ID: 4688624349 Enrollment ID: I20050131000326 |
| Provider Name | Cynthia J Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396734240 PECOS PAC ID: 8022329416 Enrollment ID: I20150626001191 |
| Provider Name | Rebecca S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295723211 PECOS PAC ID: 6305157793 Enrollment ID: I20150720002499 |
| Provider Name | Leslie Shepherd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659330637 PECOS PAC ID: 8022115914 Enrollment ID: I20151203003311 |
| Provider Name | Lauren K Saliba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124356001 PECOS PAC ID: 9739481441 Enrollment ID: I20160112000898 |
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