NPI age
14 years
Enumerated 2011-07-25
● Active Type 2 · Organization
Professional Home Detox
Professional Home Detox is 1 of 345 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fuller
Program Director
Last NPPES update
2011-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 345 active clinic/center providers in Texas.
NPI age
14 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-07Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
8104 County Road 6500
Lubbock, TX 794169557
Mailing address
8104 County Road 6500
Lubbock, TX 794169557
Authorized official
Courtney Carole Fuller, BSN, RN
Program Director
📞 8067736575
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Courtney Fuller, BSN, RN Registered Nurse NPI 1437437464
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.