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

Southern Area Behavioral Healthcare LLC

Organization Professional Counselor · NPI 1396973772

Southern Area Behavioral Healthcare LLC is a Professional Counselor in Dallas, Texas. Works from 3 locations. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
8
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

4215 Gannon Ln
Dallas, TX 75237-2914
Phone: (972) 283-9090
Fax: (972) 499-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3001 Al Lipscomb Way, Dallas, TX 75215-1702 — (972) 283-9090
  • 110 W Grove St, Kaufman, TX 75142-2033 — (972) 283-9090

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Professional Counselor Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1396973772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Medlock — Chief Executive Officer · (972) 283-9090
NPI enumeratedJune 24, 2009
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address4215 Gannon Ln, Dallas, TX 75237-2914

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