Provider Demographics
NPI:1851158554
Name:AVL VENTURES
Entity type:Organization
Organization Name:AVL VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHOU
Authorized Official - Middle Name:VAZIRI
Authorized Official - Last Name:LINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, RPT, CSC
Authorized Official - Phone:214-232-2776
Mailing Address - Street 1:7557 RAMBLER RD # 505
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4142
Mailing Address - Country:US
Mailing Address - Phone:469-360-8001
Mailing Address - Fax:
Practice Address - Street 1:7557 RAMBLER RD # 505
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4142
Practice Address - Country:US
Practice Address - Phone:469-360-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health