Provider Demographics
NPI:1366886467
Name:AAA MENTAL HEALTH
Entity type:Organization
Organization Name:AAA MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:MANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-690-6700
Mailing Address - Street 1:2007 N COLLINS BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2672
Mailing Address - Country:US
Mailing Address - Phone:972-690-6700
Mailing Address - Fax:972-690-6705
Practice Address - Street 1:2007 N COLLINS BLVD STE 503
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2672
Practice Address - Country:US
Practice Address - Phone:972-690-6700
Practice Address - Fax:972-690-6705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX420321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty