Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Life Outreach Medical Center LLC

Organization Clinical Social Worker · NPI 1265665384

Full Life Outreach Medical Center LLC is a Clinical Social Worker in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4545 S Buckner Blvd
Dallas, TX 75227-4207
Phone: (214) 791-2863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 801062647 (TX)

Record details

NPI number1265665384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reginald Benjamin — President · (214) 791-2863
Other names Full Life Outreach Center
NPI enumeratedAugust 24, 2009
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address4545 S Buckner Blvd, Dallas, TX 75227-4207

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