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PRAIRIE HARBOR, LLC
NPI 1235565797
Residential Treatment Facility, Emotionally Disturbed Children in Wallis, TX

Active since September 16, 2013
7146 HIGHWAY 60, WALLIS, TX 77485(979) 217-1581 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Harbor, Llc NPPES

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

PRAIRIE HARBOR, LLC (NPI 1235565797) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Wallis, Texas and active in the NPI registry since September 2013. The organization lists Randall Bryant, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235565797
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePRAIRIE HARBOR, LLC
Location Address7146 HIGHWAY 60Wallis, TX 77485-9507
Mailing AddressPo Box 517Wallis, TX 77485-0517
Phone(979) 217-1581
Organization SubpartNo
Authorized OfficialRandall BryantExecutive Director · (979) 217-1581
Enumeration DateSeptember 16, 2013
Last NPPES UpdateFebruary 28, 2014
✔ NPI 1235565797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
7146 HIGHWAY 60, Wallis, TX 77485
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Other Providers at the Same Location NPPES 5

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

ADDED INCENTIVE
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
7146 HIGHWAY 60
WALLIS, TX 77485
Austin County (832) 215-3344
MRS. MELANIE RENEE GRAYBILL LCSW
Social Worker
7146 HIGHWAY 60
WALLIS, TX 77485
Austin County (979) 217-1581
LINDSEY BARTAY LPC
Counselor (Professional)
7146 HIGHWAY 60
WALLIS, TX 77485
Austin County (979) 217-1581
BRETT BERGVALL LPC
Counselor (Professional)
7146 HIGHWAY 60
WALLIS, TX 77485
Austin County (979) 217-1581
LUZ ALQUICIRA LCSW, LCDC, ASOTP
Social Worker (Clinical)
7146 HIGHWAY 60
WALLIS, TX 77485
Austin County (979) 217-1581

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 Prairie Harbor, LLC's NPI number?

The NPI number for Prairie Harbor, LLC is 1235565797. It was assigned to this organization in the NPPES registry on September 16, 2013.

Where is Prairie Harbor, LLC located?

Prairie Harbor, LLC is located at 7146 Highway 60, Wallis, TX 77485. The listed phone number is (979) 217-1581.

What is Prairie Harbor, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Prairie Harbor, LLC was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.