Organization Active NPI

The Cultivate Community, LLC

  • Community/Behavioral Health Agency
  • Southlake, TX
National Provider Identifier
1043006935
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE CULTIVATE COMMUNITY, LLC
Practice address
190 W State Highway 114 Ste G
Southlake, TX 76092-3612
Phone
(214) 444-8539
NPI assigned
Apr 16, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Candace Szymanski, MT-BCNPI 1225927361
Title
Owner
Phone
(847) 624-0986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Specialist 174400000X
Music Therapist 225A00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

190 W State Highway 114 Ste G
Southlake, TX 76092-3612

Mailing address

300 State St Unit 92664
Southlake, TX 76092-1224

National Provider Directory

National Provider Directory

Locations

190 W State Highway 114
Ste G
Southlake, TX 76092
Phone (214) 444-8539

300 State St
Unit 92664
Southlake, TX 76092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1043006935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST UNIT 92664",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W STATE HIGHWAY 114 STE G",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923612",
            "telephone_number": "214-444-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CULTIVATE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-624-0986",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.