Provider Demographics
NPI:1841998150
Name:ANIME SPARTAN LLC
Entity type:Organization
Organization Name:ANIME SPARTAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UREMAYDIYI
Authorized Official - Middle Name:
Authorized Official - Last Name:UKIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-209-9215
Mailing Address - Street 1:9600 COIT RD APT 923
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-8226
Mailing Address - Country:US
Mailing Address - Phone:469-209-9215
Mailing Address - Fax:
Practice Address - Street 1:101 E PARK BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5483
Practice Address - Country:US
Practice Address - Phone:469-209-9215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANIME SPARTAN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)