Healthcare Provider Details

I. General information

NPI: 1831996917
Provider Name (Legal Business Name): WORKSHOP COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 CAVENDER DR
HURST TX
76053-4002
US

IV. Provider business mailing address

729 GRAPEVINE HWY # 399
HURST TX
76054-2805
US

V. Phone/Fax

Practice location:
  • Phone: 682-422-6722
  • Fax:
Mailing address:
  • Phone: 682-422-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GEORGE FRITTS
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC-S
Phone: 682-422-6716