Organization Active NPI

Momfully You, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lewisville, TX
National Provider Identifier
1083236475
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOMFULLY YOU, PLLC
Practice address
2250 S Valley Pkwy Apt 4212
Lewisville, TX 75067-2058
Phone
(731) 612-1417
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Chasity Holcomb, LPCNPI 1528570488
Title
Therapist
Phone
(731) 612-1417

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2250 S Valley Pkwy Apt 4212
Lewisville, TX 75067-2058

Mailing address

PO Box 293152
Lewisville, TX 75029-3152

National Provider Directory

National Provider Directory

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1083236475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293152",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750293152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S VALLEY PKWY APT 4212",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750672058",
            "telephone_number": "731-612-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMFULLY YOU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "731-612-1417",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.