Provider Demographics
NPI:1689735300
Name:AABY (ALL ABOUT YOU) COMMUNITY CARE, LLC
Entity Type:Organization
Organization Name:AABY (ALL ABOUT YOU) COMMUNITY CARE, LLC
Other - Org Name:STARBRIGHT HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:O
Authorized Official - Last Name:NDUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-918-9009
Mailing Address - Street 1:1221 ABRAMS RD STE 135
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5598
Mailing Address - Country:US
Mailing Address - Phone:972-918-9009
Mailing Address - Fax:972-918-9015
Practice Address - Street 1:1221 ABRAMS RD STE 135
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5598
Practice Address - Country:US
Practice Address - Phone:972-918-9009
Practice Address - Fax:972-189-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1009625Medicaid
TX1010567Medicaid