Provider Demographics
NPI:1710364575
Name:T.E.A.M.
Entity Type:Organization
Organization Name:T.E.A.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:S
Authorized Official - Last Name:COBB PIGGEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DD
Authorized Official - Phone:214-458-7806
Mailing Address - Street 1:1140 EMPIRE CENTRAL BLVD
Mailing Address - Street 2:520
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247
Mailing Address - Country:US
Mailing Address - Phone:214-301-0968
Mailing Address - Fax:214-242-2224
Practice Address - Street 1:1140 EMPIRE CENTRAL BLVD
Practice Address - Street 2:520
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247
Practice Address - Country:US
Practice Address - Phone:214-301-0968
Practice Address - Fax:214-242-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health