OrganizationActive
Charis Behavioral Health LLC
NPI 1124664123 · Mental Health Clinic/Center (Including Community Mental Health Center) · Southlake, TX
Provider details
- NPI number
- 1124664123
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cosalyn Young, Business Operations Director(817) 997-4525
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Psychiatric Hospital283Q00000X
Hospitals
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 W Southlake Blvd
Southlake, TX 76092-6171
Phone: (469) 578-2529
Street-level locationGet directions
Mailing address
250 W Southlake Blvd Ste 100
Southlake, TX 76092-6170
Registry dates
- Enumerated
- 2019-11-25
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.