PROFESSIONAL COUNSELING CENTER PLLC (NPI# 1245400589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245400589 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL COUNSELING CENTER PLLC |
| Practice Address |
6612 N Riverside Dr Suite 140 Fort Worth TX 76137-6663 |
| Practice Telephone | 8173069770 |
| Practice Fax Number | 8173060664 |
| Mailing Telephone | 8173069770 |
| Mailing Fax Number | 8173060664 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. YVETTE PHILLIPS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8173069770 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
63253 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1883613-01 | 05 |
| Street Address |
6612 N RIVERSIDE DR SUITE 140 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-6663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245369503 | Jennifer R Burgess | Psychologist | 6612 N Riverside Dr, Suite 130, Fort Worth, TX 76137-6663 | 2007-03-05 |
| 1740813005 | Neuro Eye Team Pllc | Optometrist | 6612 N Riverside Dr, Fort Worth, TX 76137-6663 | 2020-02-14 |
| 1174946925 | Therron Hume | Psychologist | 6612 N Riverside Dr, Fort Worth, TX 76137-6663 | 2014-01-30 |
| 1730524174 | Alphapsych, Pllc | Psychologist | 6612 N Riverside Dr, Suite 130, Fort Worth, TX 76137-6663 | 2013-04-29 |
| 1881914380 | Lydia Ann Ivory | Counselor | 6612 N Riverside Dr, 140, Fort Worth, TX 76137-6663 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1932713385 | Brooke Nicole Powell | Counselor | 1804 Glenmore Ave, Fort Worth, TX 76102-1509 | 2020-09-03 |
| 1669085254 | Heather Marie Wolf | Counselor | 429 College Ave Apt 301, Fort Worth, TX 76104-2264 | 2020-08-25 |
| 1013529361 | Michelle Mcqueen | Counselor | 8548 S Hulen St, Fort Worth, TX 76123-2741 | 2020-08-18 |
| 1871102772 | Precious Victoria Robinson | Counselor | 929 E Pulaski St, Fort Worth, TX 76104-5139 | 2020-07-27 |
| 1861010258 | Rachel Brohammer | Counselor | 4005 Ohare Ct Apt 602, Fort Worth, TX 76155-2853 | 2020-07-11 |
| 1972128288 | Traci Cocetti | Counselor | 4516 Fletcher Ave, Fort Worth, TX 76107-6214 | 2020-06-11 |
| 1285259622 | Brittany Lynn Stroud | Counselor | 3200 Riverfront Dr Ste 108, Fort Worth, TX 76107-6560 | 2020-06-11 |
| 1912529330 | Kristen Ann Mcgowen-plaga | Counselor | 12729 Homestretch Dr, Fort Worth, TX 76244-4214 | 2020-05-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on PROFESSIONAL COUNSELING CENTER PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.