Healthcare Provider Details

I. General information

NPI: 1720991946
Provider Name (Legal Business Name): MR. JOSIAS BENJAMIN PINCAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5817 W I 20 STE 490
ARLINGTON TX
76017-2812
US

IV. Provider business mailing address

PO BOX 748465
ATLANTA GA
30374-8465
US

V. Phone/Fax

Practice location:
  • Phone: 210-399-3252
  • Fax: 617-807-0958
Mailing address:
  • Phone: 855-284-7483
  • Fax: 617-807-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103499
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: