Provider Demographics
NPI:1871816587
Name:OPES
Entity Type:Organization
Organization Name:OPES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:C
Authorized Official - Last Name:LITICKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-587-3454
Mailing Address - Street 1:PO BOX 850622
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185-0622
Mailing Address - Country:US
Mailing Address - Phone:214-587-3454
Mailing Address - Fax:
Practice Address - Street 1:2300 PITTSBURG LNDG
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4606
Practice Address - Country:US
Practice Address - Phone:214-587-3454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3490884Medicaid