Provider Demographics
NPI:1437819174
Name:BONNIE'S COMMUNITY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BONNIE'S COMMUNITY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WILIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-403-8162
Mailing Address - Street 1:9550 FOREST LN STE 321
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6067
Mailing Address - Country:US
Mailing Address - Phone:214-403-8162
Mailing Address - Fax:214-594-7722
Practice Address - Street 1:9550 FOREST LN STE 321
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6067
Practice Address - Country:US
Practice Address - Phone:214-403-8162
Practice Address - Fax:214-594-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care