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HOMAGE BEHAVIORAL HEALTH CLINIC LLC
NPI 1225762701
Nurse Practitioner - Psychiatric/Mental Health in Dwg, TX

Active since July 12, 2022CLIA 45D2273427 · Waiver
2218 MICHIGAN AVE STE A, DWG, TX 76013(817) 231-0913(888) 322-2260 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Jul 12, 2022 (2 updates tracked since 2022).

About Homage Behavioral Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMAGE BEHAVIORAL HEALTH CLINIC LLC (NPI 1225762701) is a healthcare organization registered as a psychiatric/mental health in Dwg, Texas and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Victoria N Benson, Director, as its authorized official.

NPPES Registry Identity

NPI1225762701
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHOMAGE BEHAVIORAL HEALTH CLINIC LLC
Location Address2218 MICHIGAN AVE STE ADwg, TX 76013-5930
Mailing Address2218 Michigan Ave Ste ADwg, TX 76013-5930 · (817) 231-0913 · Fax (888) 322-2260
Phone(817) 231-0913
Fax(888) 322-2260
Organization SubpartNo
Authorized OfficialVictoria N BensonDirector · (817) 323-7633
Enumeration DateJuly 12, 2022
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1225762701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2218 MICHIGAN AVE STE A, Dwg, TX 76013
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2273427

Homage Behavioral Health Clinic, LLC · Grand Prairie, TX
Active · expires Dec 12, 2026
CLIA Number45D2273427
Laboratory TypePractitioner Other
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorVictoria N. Benson
Laboratory Phone(817) 323-7633
Laboratory LocationHomage Behavioral Health Clinic, LLC3008 Nadar Suite 2, Grand Prairie, TX 75054
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BCP HEALTH CARE INCORPORATED
Home Health
2218 MICHIGAN AVE STE A
DWG, TX 76013
Tarrant County (682) 222-7900
VICTORIA BENSON
Nurse Practitioner (Psychiatric/Mental Health)
2218 MICHIGAN AVE STE A
DWG, TX 76013
Tarrant County (817) 231-0913
DR. DONATUS E BENSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2218 MICHIGAN AVE STE A
DWG, TX 76013
Tarrant County (817) 231-0913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homage Behavioral Health Clinic LLC's NPI number?

The NPI number for Homage Behavioral Health Clinic LLC is 1225762701. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Homage Behavioral Health Clinic LLC located?

Homage Behavioral Health Clinic LLC is located at 2218 Michigan Ave Ste A, Dwg, TX 76013. The listed phone number is (817) 231-0913.

What is Homage Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Homage Behavioral Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2273427) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Homage Behavioral Health Clinic LLC accept?

Health plans from WellPoint list Homage Behavioral Health Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Homage Behavioral Health Clinic LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.