NPI age
17 years
Enumerated 2009-01-08
● Active Type 2 · Organization
Beverly Diane Ellis
Beverly Diane Ellis is 1 of 1496 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Texas.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellis
Ceo
Last NPPES update
2009-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 1496 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Texas.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
420 Tierney Rd
Fort Worth, TX 761126324
Mailing address
420 Tierney Rd
Fort Worth, TX 761126324
Authorized official
Beverly Ellis
Ceo
📞 8175345480
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Doris Benjamin Psychologist NPI 1376754366
- Eddie Ellis Psychologist NPI 1841400132
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
-
Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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