NPIMap

Organization Active NPI

Liv Center for Reproductive Healing

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1053134601
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIV CENTER FOR REPRODUCTIVE HEALING
Practice address
5050 Quorum Dr Ste 600
Dallas, TX 75254-7024
Phone
(469) 373-3991
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Tiffany Evonne Wicks, EDD, LPC-S
Title
Owner
Phone
(469) 373-3991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5050 Quorum Dr Ste 600
Dallas, TX 75254-7024

Mailing address

5050 Quorum Dr Ste 600
Dallas, TX 75254-7024
Phone (469) 373-3991

National Provider Directory

National Provider Directory

Locations

5050 Quorum Dr
Ste 600
Dallas, TX 75254
Phone (469) 373-3991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1053134601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547024",
            "telephone_number": "469-373-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547024",
            "telephone_number": "469-373-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV CENTER FOR REPRODUCTIVE HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "EVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-373-3991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.