Healthcare Provider Details

I. General information

NPI: 1912826710
Provider Name (Legal Business Name): NEHA MEHTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 GENESIS CT STE 205
FRISCO TX
75034-4284
US

IV. Provider business mailing address

5750 GENESIS CT STE 205
FRISCO TX
75034-4284
US

V. Phone/Fax

Practice location:
  • Phone: 214-494-1028
  • Fax:
Mailing address:
  • Phone: 214-494-1028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number102697
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number102697
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: