Healthcare Provider Details

I. General information

NPI: 1215247408
Provider Name (Legal Business Name): FIRST LOTUS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N. GREENVILLE AVE. STE. 700
RICHARDSON TX
75081
US

IV. Provider business mailing address

2821 NEWBURYPORT AVE.
GARLAND TX
75044-2113
US

V. Phone/Fax

Practice location:
  • Phone: 940-368-6660
  • Fax:
Mailing address:
  • Phone: 940-368-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15456
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number801285482
License Number StateTX

VIII. Authorized Official

Name: DR. LEIGH ANN FALLS
Title or Position: OWNER/MEMBER
Credential: PHD LPCS RPTS NCC
Phone: 940-368-6660