NPI Code Details Logo

NPI 1336606433

NPI 1336606433 : FULL HEARTS COUNSELING, LLC : GRAPEVINE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336606433
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FULL HEARTS COUNSELING, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/25/2019
-----------------------------------------------------
    Last Update Date     |    01/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1452 HUGHES RD STE 200 
-----------------------------------------------------
    City                 |    GRAPEVINE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76051-9221
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    682-503-1788
-----------------------------------------------------
    Fax                  |    682-228-5738
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 210012 
-----------------------------------------------------
    City                 |    BEDFORD
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76095-7012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    682-503-1788
-----------------------------------------------------
    Fax                  |    682-228-5738
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ THERAPIST
-----------------------------------------------------
    Name                 |    MRS. ANGELA M BYRD 
-----------------------------------------------------
    Credential           |    LPC-S
-----------------------------------------------------
    Telephone            |    817-919-7788
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.