Healing Marriage Dallas

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

202225 Issued in TX

Legal business name

HEALING MARRIAGE DALLAS

Practice address

6333 Diamond Head Cir Apt D
Dallas, TX 75225-3411

Phone

(214) 773-5645

Fax

(214) 571-4435

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Nestor Presas, LMFT

Title

President

Phone

(214) 773-5645

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1063939692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 RIDGELEA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752092624",
            "telephone_number": "214-773-5645",
            "fax_number": "214-571-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 DIAMOND HEAD CIR APT D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752253411",
            "telephone_number": "214-773-5645",
            "fax_number": "214-571-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MARRIAGE DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "PRESAS",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-773-5645",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3632255901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Healing Pool Home Healthcare Agency
• Healing Realm Psychiatry Wellness PLLC
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• Marriage & Family Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.