Provider Demographics
NPI:1992072342
Name:THE PLAN OF NORTH TEXAS
Entity type:Organization
Organization Name:THE PLAN OF NORTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:972-690-7526
Mailing Address - Street 1:13151 EMILY RD
Mailing Address - Street 2:SUITE. 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240
Mailing Address - Country:US
Mailing Address - Phone:972-690-7526
Mailing Address - Fax:
Practice Address - Street 1:13151 EMILY RD
Practice Address - Street 2:SUITE. 240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-8989
Practice Address - Country:US
Practice Address - Phone:972-690-7526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35110251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health