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CHISHOLM TRAIL E-THERAPY AND COUNSELING PLLC NPI 1518596113


NPI Information

NPI: 1518596113
Provider Name: CHISHOLM TRAIL E-THERAPY AND COUNSELING, PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5025 CHISHOLM VIEW DR
FORT WORTH, TX
ZIP 76123
Phone: (772) 267-8219
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CHISHOLM TRAIL E-THERAPY AND COUNSELING, PLLC is a counselor in Fort Worth, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CHISHOLM TRAIL E-THERAPY AND COUNSELING, PLLC NPI is 1518596113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5025 CHISHOLM VIEW DR
FORT WORTH, TX
ZIP 76123-576
Phone: (772) 267-8219

The provider's authorized official is Jamie Skyta .
The authorized official title is OWNER / LPCLpc and has the following contact phone number (682) 231-1725.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 1/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.