Protostar LLC
Protostar LLC is an Adolescent and Children Mental Health Clinic/Center in Grand Prairie, Texas. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2080 N State Highway 360 Ste 230Grand Prairie, TX 75050-0900
Phone: (682) 888-1290
Fax: (940) 312-7805
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1689138604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Kippes — Ceo · (214) 289-4933 |
| Other names | Servant'S Heart Behavioral Health Clinic |
| NPI enumerated | January 23, 2019 |
| Last updated in NPPES | January 23, 2019 |
| Mailing address | 2080 N State Highway 360 Ste 230, Grand Prairie, TX 75050-0900 |