Provider Demographics
NPI:1619352507
Name:APPLEGATE RECOVERY OF PLANO, LLC
Entity Type:Organization
Organization Name:APPLEGATE RECOVERY OF PLANO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-578-2333
Mailing Address - Street 1:3303 CENTRAL EXPY
Mailing Address - Street 2:STE 210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-6913
Mailing Address - Country:US
Mailing Address - Phone:972-578-2333
Mailing Address - Fax:
Practice Address - Street 1:3303 CENTRAL EXPY
Practice Address - Street 2:STE 210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-6913
Practice Address - Country:US
Practice Address - Phone:972-578-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder