Provider Demographics
NPI:1215759493
Name:ADULT HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ADULT HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-400-0083
Mailing Address - Street 1:1490 COMMONS CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2716
Mailing Address - Country:US
Mailing Address - Phone:940-400-0083
Mailing Address - Fax:844-713-8346
Practice Address - Street 1:1490 COMMONS CIR STE 200
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2716
Practice Address - Country:US
Practice Address - Phone:940-400-0083
Practice Address - Fax:844-713-8346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty