Provider Demographics
NPI:1972338713
Name:HERITAGE HEALTH ATX, PLLC
Entity type:Organization
Organization Name:HERITAGE HEALTH ATX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-680-3630
Mailing Address - Street 1:5910 N CENTRAL EXPY STE 1820
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-0946
Mailing Address - Country:US
Mailing Address - Phone:469-680-3630
Mailing Address - Fax:
Practice Address - Street 1:108 WILD BASIN RD STE 250
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-3468
Practice Address - Country:US
Practice Address - Phone:214-363-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRANDI L. SINCLAIR, LPC, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty