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GIFTED SOULS MENTAL HEALTH COMMUNITY CENTER LLC
NPI 1508456047
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX

Active since January 19, 2021
17480 DALLAS PKWY STE 213, DALLAS, TX 75287(469) 510-4291 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, May 23, 2022, Jan 28, 2021 and 1 more (4 updates tracked since 2021).

About Gifted Souls Mental Health Community Center Llc NPPES

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

GIFTED SOULS MENTAL HEALTH COMMUNITY CENTER LLC (NPI 1508456047) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Dallas, Texas and active in the NPI registry since January 2021. The organization maintains 3 additional practice locations and lists Andre Mayo, Owner, as its authorized official.

NPPES Registry Identity

NPI1508456047
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGIFTED SOULS MENTAL HEALTH COMMUNITY CENTER LLC
Location Address17480 DALLAS PKWY STE 213Dallas, TX 75287-7304
Mailing Address17480 Dallas Pkwy Ste 213Dallas, TX 75287-7304
Phone(469) 510-4291
Organization SubpartNo
Authorized OfficialAndre MayoOwner · (469) 510-4291
Enumeration DateJanuary 19, 2021
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1508456047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
17480 DALLAS PKWY STE 213, Dallas, TX 75287
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Secondary Practice Locations 3

Location 17808 Bellfot Ave Ste AHouston, TX 77071-2147 · Phone (214) 272-7148
Location 21610 S Malcolm X Blvd Ste 320Dallas, TX 75226-2100 · Phone (214) 272-7148
Location 32743 Smith Ranch Rd Unit 1502Pearland, TX 77584-5204 · Phone (214) 272-7148

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 2

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

GIFTED SOULS MENTAL HEALTH COMMUNITY CENTER LLC
Case Management
17480 DALLAS PKWY STE 213
DALLAS, TX 75287
Collin County (469) 510-4291
ANDRE MAYO
Case Manager/Care Coordinator
17480 DALLAS PKWY STE 213
DALLAS, TX 75287
Collin County (972) 773-9991

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 Gifted Souls Mental Health Community Center LLC's NPI number?

The NPI number for Gifted Souls Mental Health Community Center LLC is 1508456047. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Gifted Souls Mental Health Community Center LLC located?

Gifted Souls Mental Health Community Center LLC is located at 17480 Dallas Pkwy Ste 213, Dallas, TX 75287. The listed phone number is (469) 510-4291.

What is Gifted Souls Mental Health Community Center LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Gifted Souls Mental Health Community Center LLC was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.