SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC
NPI 1396973772
Psychiatry & Neurology - Psychiatry in Dallas, TX

Q: What is Southern Area Behavioral Healthcare LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 24, 2009

4215 GANNON LN, DALLAS, TX 75237(972) 283-9090(972) 499-0367 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Oct 4, 2023, Aug 17, 2023 and 1 more (4 updates tracked since 2020).

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About Southern Area Behavioral Healthcare Llc NPPES

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

SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC (NPI 1396973772) is a healthcare organization registered as a psychiatry in Dallas, Texas and active in the NPI registry since June 2009. The organization maintains 2 additional practice locations and lists Kenneth R Medlock, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396973772

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSOUTHERN AREA BEHAVIORAL HEALTHCARE LLC

Location Address4215 GANNON LNDallas, TX 75237-2914

Mailing Address4215 Gannon LnDallas, TX 75237-2914 · (972) 283-9090 · Fax (972) 499-0367

Phone(972) 283-9090

Fax(972) 499-0367

Organization SubpartNo

Authorized OfficialKenneth R MedlockChief Executive Officer · (972) 283-9090

Enumeration DateJune 24, 2009

Last NPPES UpdateJanuary 3, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1396973772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

4215 GANNON LN, Dallas, TX 75237

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Secondary Practice Locations 2

Location 13001 Al Lipscomb WayDallas, TX 75215-1702 · Phone (972) 283-9090 · Fax (972) 499-0367

Location 2110 W Grove StKaufman, TX 75142-2033 · Phone (972) 283-9090 · Fax (972) 499-0367

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

KANEISHA D BAILEY LPC

Counselor (Professional)