Provider Demographics
NPI:1770859951
Name:BOUNDLESS POSSIBILITIES, INC.
Entity Type:Organization
Organization Name:BOUNDLESS POSSIBILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, QMRP
Authorized Official - Phone:214-789-4137
Mailing Address - Street 1:901 HIGHLAND VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-6711
Mailing Address - Country:US
Mailing Address - Phone:214-789-4137
Mailing Address - Fax:940-381-5422
Practice Address - Street 1:531 LONDONDERRY LN
Practice Address - Street 2:STE. 132
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5374
Practice Address - Country:US
Practice Address - Phone:214-789-4137
Practice Address - Fax:940-381-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-01
Last Update Date:2012-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management