PROFESSIONAL COUNSELING CENTER PLLC NPI 1245400589

NPI Information

  • NPI: 1245400589
  • Provider Name: PROFESSIONAL COUNSELING CENTER PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6612 N RIVERSIDE DR
    SUITE 140
    FORT WORTH, TX
    ZIP 76137
  • Phone: (817) 306-9770

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NPI Details

PROFESSIONAL COUNSELING CENTER PLLC is a mental health counselor in Fort Worth, TX. PROFESSIONAL COUNSELING CENTER PLLC NPI is 1245400589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6612 N RIVERSIDE DR
SUITE 140
FORT WORTH, TX
ZIP 76137-663
Phone: (817) 306-9770
Fax: (817) 306-0664

The provider's authorized official is Yvette Phillips .
The authorized official title is Clinical Director and has the following contact phone number (817) 306-9770.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 6/20/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health63253TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11883613-01MEDICAIDTEXAS

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: 3/30/2025

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