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

Prairie Harbor, LLC

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1235565797

Prairie Harbor, LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Wallis, Texas. Registered with an NPI since 2013.

In the registry since
2013
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

7146 Highway 60
Wallis, TX 77485-9507
Phone: (979) 217-1581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1235565797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Bryant — Executive Director · (979) 217-1581
NPI enumeratedSeptember 16, 2013
Last updated in NPPESFebruary 28, 2014
Mailing addressPo Box 517, Wallis, TX 77485-0517