Provider Demographics
NPI:1639067572
Name:RESET WITHOUT THE BS, LLC
Entity type:Organization
Organization Name:RESET WITHOUT THE BS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-438-8530
Mailing Address - Street 1:4107 ORCHARD HILL DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-3715
Mailing Address - Country:US
Mailing Address - Phone:806-438-8530
Mailing Address - Fax:
Practice Address - Street 1:4107 ORCHARD HILL DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-3715
Practice Address - Country:US
Practice Address - Phone:806-438-8530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316312135Medicaid