MEDICARE: NURTURE COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659228385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	1706 SUMMER LN
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-2672
Country	:	US
Telephone Number	:	682-422-9615
Fax Number	:

Provider Business Practice Location Address
First Line	:	1706 SUMMER LN
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-2672
Country	:	US
Telephone Number	:	917-937-0917
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA JORDAN VALLADARES
Credential	:	LPC
Telephone Number	:	682-422-9615

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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