Healthcare Provider Details

I. General information

NPI: 1003619198
Provider Name (Legal Business Name): REAL TALK THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 MAURICE BELL DR
EL PASO TX
79932-3022
US

IV. Provider business mailing address

5670 MAURICE BELL DR
EL PASO TX
79932-3022
US

V. Phone/Fax

Practice location:
  • Phone: 910-494-7477
  • Fax:
Mailing address:
  • Phone: 910-494-7477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICHOLE ESPARZA
Title or Position: OWNER
Credential: LPCC
Phone: 910-494-7477