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PROFESSIONAL HOME DETOX
NPI 1407134448
Clinic/Center - Rehabilitation, Substance Use Disorder in Lubbock, TX

Active since July 25, 2011
8104 COUNTY ROAD 6500, LUBBOCK, TX 79416(806) 773-6575 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Home Detox NPPES

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

PROFESSIONAL HOME DETOX (NPI 1407134448) is a healthcare organization registered as a rehabilitation, substance use disorder in Lubbock, Texas and active in the NPI registry since July 2011. The organization lists Courtney Carole Fuller, Program Director, as its authorized official.

NPPES Registry Identity

NPI1407134448
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePROFESSIONAL HOME DETOX
Location Address8104 COUNTY ROAD 6500Lubbock, TX 79416-9557
Mailing Address8104 County Road 6500Lubbock, TX 79416-9557 · (806) 773-6575
Phone(806) 773-6575
Organization SubpartNo
Authorized OfficialCourtney Carole FullerProgram Director · (806) 773-6575
Enumeration DateJuly 25, 2011
✔ NPI 1407134448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in TX · 671297
8104 COUNTY ROAD 6500, Lubbock, TX 79416
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Other Providers at the Same Location NPPES

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

MRS. COURTNEY CAROLE FULLER BSN, RN
Registered Nurse (Addiction (Substance Use Disorder))
8104 COUNTY ROAD 6500
LUBBOCK, TX 79416
Lubbock County (806) 773-6575

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 Professional Home Detox's NPI number?

The NPI number for Professional Home Detox is 1407134448. It was assigned to this organization in the NPPES registry on July 25, 2011.

Where is Professional Home Detox located?

Professional Home Detox is located at 8104 County Road 6500, Lubbock, TX 79416. The listed phone number is (806) 773-6575.

What is Professional Home Detox's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Professional Home Detox was last updated on July 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.