Provider Demographics
NPI:1275967101
Name:VCPHCS II LLC
Entity Type:Organization
Organization Name:VCPHCS II LLC
Other - Org Name:BHG DENISON TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMON
Authorized Official - Middle Name:LARAINE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:972-391-4254
Mailing Address - Street 1:1105 MEMORIAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-2177
Mailing Address - Country:US
Mailing Address - Phone:972-391-4254
Mailing Address - Fax:903-464-0559
Practice Address - Street 1:1105 MEMORIAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-2177
Practice Address - Country:US
Practice Address - Phone:972-391-4254
Practice Address - Fax:903-464-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10560101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty