Provider Demographics
NPI:1669345211
Name:A AND A FOR A MEANINGFUL LIFE
Entity type:Organization
Organization Name:A AND A FOR A MEANINGFUL LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:ALFREDO
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-221-4259
Mailing Address - Street 1:2505 SOUTH BURLESON BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028
Mailing Address - Country:US
Mailing Address - Phone:682-221-4259
Mailing Address - Fax:817-887-4157
Practice Address - Street 1:2505 SOUTH BURLESON BLVD
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028
Practice Address - Country:US
Practice Address - Phone:682-221-4259
Practice Address - Fax:817-887-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health