Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Full Life Outreach Medical Center LLC

Organization Clinical Social Worker · NPI 1265665384

Full Life Outreach Medical Center LLC provides Clinical Social Worker services in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
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

4545 S Buckner Blvd
Dallas, TX 75227-4207
Phone: (214) 791-2863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 801062647 (TX)

Record details

NPI number1265665384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reginald Benjamin — President · (214) 791-2863
Other names Full Life Outreach Center
NPI enumeratedAugust 24, 2009
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address4545 S Buckner Blvd, Dallas, TX 75227-4207

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