NPI Code Details Logo

NPI 1770427775

NPI 1770427775 : SPERA NOVA BEHAVIORAL HEALTH, PLLC : FORT WORTH, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770427775
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SPERA NOVA BEHAVIORAL HEALTH, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2026
-----------------------------------------------------
    Last Update Date     |    04/18/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5724 EL CAMPO AVE 
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76107-4646
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-455-2548
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5724 EL CAMPO AVE 
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76107-4646
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-455-2548
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PARTNER
-----------------------------------------------------
    Name                 |    MS. MISTY RACHELLE ENGLAND 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    214-455-2548
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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