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FULL LIFE OUTREACH MEDICAL CENTER LLC
NPI 1265665384
Social Worker - Clinical in Dallas, TX

Active since August 24, 2009
4545 S BUCKNER BLVD, DALLAS, TX 75227(214) 791-2863 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Life Outreach Medical Center Llc NPPES

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

FULL LIFE OUTREACH MEDICAL CENTER LLC (NPI 1265665384), doing business as Full Life Outreach Center, is a healthcare organization registered as a clinical in Dallas, Texas and active in the NPI registry since August 2009. The organization lists Reginald Benjamin, President, as its authorized official.

NPPES Registry Identity

NPI1265665384
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFULL LIFE OUTREACH MEDICAL CENTER LLC
Location Address4545 S BUCKNER BLVDDallas, TX 75227-4207
Mailing Address4545 S Buckner BlvdDallas, TX 75227-4207 · (214) 791-2863
Phone(214) 791-2863
Organization SubpartNo
Authorized OfficialReginald BenjaminPresident · (214) 791-2863
Enumeration DateAugust 24, 2009
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1265665384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 801062647
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4545 S BUCKNER BLVD, Dallas, TX 75227
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Other Names 1

Doing Business AsFull Life Outreach Center

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

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.

RICHARD LEE BENJAMIN
Registered Nurse (Dialysis, Peritoneal)
4545 S BUCKNER BLVD
DALLAS, TX 75227
Dallas County (214) 791-2863
ROYAL MANOR CARE CENTER, INC.
Nursing Facility/Intermediate Care Facility
4545 S BUCKNER BLVD
DALLAS, TX 75227
Dallas County (214) 791-2863
HOUSE OF TENDER CARE HOME HEALTH INC
Home Health
4545 S BUCKNER BLVD
DALLAS, TX 75227
Dallas County (214) 791-2863

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 Full Life Outreach Medical Center LLC's NPI number?

The NPI number for Full Life Outreach Medical Center LLC is 1265665384. It was assigned to this organization in the NPPES registry on August 24, 2009. The provider is doing business as Full Life Outreach Center.

Where is Full Life Outreach Medical Center LLC located?

Full Life Outreach Medical Center LLC is located at 4545 S Buckner Blvd, Dallas, TX 75227. The listed phone number is (214) 791-2863.

What is Full Life Outreach Medical Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Full Life Outreach Medical Center LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.