Healthcare Provider Details
I. General information
NPI: 1538396940
Provider Name (Legal Business Name): DALLAS COUNSELING & PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2009
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6380 LBJ FWY SUITE 299
DALLAS TX
75240-6416
US
IV. Provider business mailing address
13355 NOEL RD STE 1100
DALLAS TX
75240-6694
US
V. Phone/Fax
- Phone: 972-755-0996
- Fax: 972-386-5229
- Phone: 972-755-0996
- Fax: 972-386-5229
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0004X |
| Taxonomy | Health Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HEATHER
ROBBINS
Title or Position: DIRECTOR
Credential: PHD
Phone: 972-755-0996