PEDIATRIC COUNSELING OF MANSFIELD


Address: 404 E Broad St Ste 200, Mansfield, TX 76063-1728
Phone: 6824227070

PEDIATRIC COUNSELING OF MANSFIELD (NPI# 1992207054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992207054
Entity Type Organization
Organization Name PEDIATRIC COUNSELING OF MANSFIELD
Practice Address 404 E Broad St Ste 200
Mansfield
TX 76063-1728
Practice Telephone 6824227070
Practice Fax Number 6823230944
Mailing Telephone 6824227070
Mailing Fax Number 6823230944
Enumeration Date 2018-03-05
Last Update Date 2018-03-05
Authorized Official Name MRS. ELISHA LAMBERT (OWNER/THERAPIST)
Authorized Official Telephone 6824227070
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
73578 TX Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 345128803 05

Office Location

Street Address 404 E BROAD ST STE 200
City MANSFIELD
State TX
Zip Code 76063-1728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801446505 Heather Mcghee Counselor 404 E Broad St Ste 200, Mansfield, TX 76063-1728 2019-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790335271 Therathrive LLC Clinic/Center 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 2019-09-16
1245858950 Third Street Community Clinic Inc Clinic/Center 200 Park Ave W, Mansfield, OH 44902-1608 2020-07-09
1407181605 Jsn Associates, Pllc Clinic/Center 9 Crestlake Ct, Mansfield, TX 76063-5469 2009-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053911776 Wellness Work Counseling Service Pllc Clinic/Center 3016 Polar Ln Ste 207, Cedar Park, TX 78613-3039 2020-10-30
1942807250 Chart Counseling Services Pllc Clinic/Center 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 2020-10-08
1114548831 Integral Counseling and Wellness, LLC Clinic/Center 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 2020-05-05
1679100986 Sarah Douglas Cox, Lcsw Pllc Clinic/Center 9922 Caleb Way, Missouri City, TX 77459-6472 2020-03-25
1366080962 Eating Recovery Center of Texas, LLC Clinic/Center 5120 Legacy Dr, Plano, TX 75024 2019-12-13
1326681354 Evolving Mind Solutions, LLC Clinic/Center 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 2019-10-22
1932754363 Proactive Behavior & Solutions Clinic/Center 2626 Scenic Point, Arlington, TX 76006 2019-08-02
1073175576 Remuda Ranch Counseling Services Clinic/Center 10333 Remuda View Dr, San Antonio, TX 78254-1759 2019-07-03
1366008583 Progressive Counseling Services Clinic/Center 5820 34th St Apt 271, Lubbock, TX 79407-3352 2019-05-13
1053878355 Mainstay Youth Services LLC Clinic/Center 7919 West Rd, Houston, TX 77064-8042 2019-02-23
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Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

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.

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