Provider Demographics
NPI:1124570114
Name:ADDICTION TREATMENT RESOURCES INC
Entity Type:Organization
Organization Name:ADDICTION TREATMENT RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-422-0429
Mailing Address - Street 1:1505 HARROUN AVE
Mailing Address - Street 2:F
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3432
Mailing Address - Country:US
Mailing Address - Phone:817-856-9926
Mailing Address - Fax:888-242-9976
Practice Address - Street 1:930 W. PARKER RD
Practice Address - Street 2:STE. 530A
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:817-856-9926
Practice Address - Fax:888-242-9976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6388101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty