Provider Demographics
NPI:1124424510
Name:ASPIRE RECOVERY CENTER OF FRISCO, LLC
Entity type:Organization
Organization Name:ASPIRE RECOVERY CENTER OF FRISCO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:DAKIN
Authorized Official - Suffix:IV
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:214-417-4217
Mailing Address - Street 1:8380 WARREN PKWY
Mailing Address - Street 2:SUITE 602
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4198
Mailing Address - Country:US
Mailing Address - Phone:469-249-9363
Mailing Address - Fax:469-249-9364
Practice Address - Street 1:8380 WARREN PKWY
Practice Address - Street 2:SUITE 602
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4198
Practice Address - Country:US
Practice Address - Phone:469-249-9363
Practice Address - Fax:469-249-9364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3482-3483261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4291885OtherCIGNA
TX0030XHOtherBLUE CROSS BLUE SHEILD OF TEXAS