MEDICARE: BELLA VIDA COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033049648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA VIDA COUNSELING

Provider Business Mailing Address
First Line	:	1800 BEAR SPRINGS DR
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-2829
Country	:	US
Telephone Number	:	817-965-1214
Fax Number	:

Provider Business Practice Location Address
First Line	:	9705 TEHAMA RIDGE PKWY STE 248
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-7526
Country	:	US
Telephone Number	:	817-203-4778
Fax Number	:

Authorized Official
Title or Position	:	OWNER / MANAGING MEMBER
Name	:	JAIME GOAD
Credential	:	LPC
Telephone Number	:	817-965-1214

Provider Enumeration Date	:	05/23/2026
Last Update Date	:	05/23/2026

Similar Medicare Providers

1457202749 — SUSAN ELAINE MELTON LPC
Practice Location Address:

9705 TEHAMA RIDGE PKWY STE 248
FORT WORTH, TX
76177-7526

Practice Phone: 682-206-3053
Practice Fax:

1588227938 — TENILLE N. GANTT
Practice Location Address:

9705 TEHAMA RIDGE PKWY STE 255
FORT WORTH, TX
76177-7526

Practice Phone: 817-841-9013
Practice Fax:

1689412330 — LITTLE DANDELION SPEECH AND FEEDING THERAPY
Practice Location Address:

9705 TEHAMA RIDGE PKWY STE 250
FORT WORTH, TX
76177-7526

Practice Phone: 972-213-4299
Practice Fax:

1265372627 — BELLA VIDA COUNSELING
Practice Location Address:

9705 TEHAMA RIDGE PKWY STE 248
FORT WORTH, TX
76177-7526

Practice Phone: 817-203-4778
Practice Fax:

1982605861 — MS. BARBARA JEAN LANZ CRNA
Practice Location Address:

38 BARKLEY CIR , SUITE 1
FORT MYERS, FL
33907-7526

Practice Phone: 239-317-5533
Practice Fax:

1467568915 — LLOYD DAWSON GLADDING DO
Practice Location Address:

3095 KENNESAW ST
FORT MYERS, FL
33916-7526

Practice Phone: 239-425-6464
Practice Fax: 239-432-0548

Directions to “BELLA VIDA COUNSELING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.