Emerald Palace Practice Pllc

LBN: Emerald Palace Practice Pllc
Emerald Palace Practice Pllc is an health care organization with primary practice located at 6200 Chase Oaks Blvd Suite 103, Plano TX 75023-4652. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Emerald Palace Practice Pllc can be contacted via phone (214) 866-9529, or through Grandjean, Brian R via phone (214) 866-9529.

Contact Information

Primary practice address
6200 Chase Oaks Blvd Suite 103 Plano TX 75023-4652
Phone: (214) 866-9529
Fax: (469) 241-0556
Website:
Map and Directions
Authorized official contact:
Name: Grandjean, Brian R MA, LPC
Phone: (214) 866-9529

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 197756 Texas

Profile Details

NPI number 1912145400
LBN Legal business name Emerald Palace Practice Pllc
DBA Doing business as
Authorized official Grandjean, Brian R MA, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2009
Last updated Jan 22nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912145400 NPPES
Texas MEDICAID 181137402

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