Provider Demographics
NPI:1396517207
Name:VARIANT SUPPORT SERVICES OF TEXAS L.L.C.
Entity type:Organization
Organization Name:VARIANT SUPPORT SERVICES OF TEXAS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-989-5073
Mailing Address - Street 1:8225 FEDORA DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-6280
Mailing Address - Country:US
Mailing Address - Phone:434-989-5073
Mailing Address - Fax:
Practice Address - Street 1:3110 GUADALUPE DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-4409
Practice Address - Country:US
Practice Address - Phone:434-989-5073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management