Healthcare Provider Details

I. General information

NPI: 1831054527
Provider Name (Legal Business Name): FAIR COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 N CENTRAL EXPY STE 670
DALLAS TX
75204-3158
US

IV. Provider business mailing address

4040 N CENTRAL EXPY STE 670
DALLAS TX
75204-3158
US

V. Phone/Fax

Practice location:
  • Phone: 214-233-6253
  • Fax:
Mailing address:
  • Phone: 214-233-6253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY MARGARET FAIR
Title or Position: THERAPIST
Credential: LCSW
Phone: 254-716-8057