Logovita, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LOGOVITA, PLLC

Practice address

1305 NW 4TH St
Andrews, TX 79714-2838

Phone

(432) 245-0534

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Nicole Witte-Hubbard, LPC

Title

Manager

Phone

(325) 660-6960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1104416361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 NW 4TH ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797142838",
            "telephone_number": "432-245-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 NW 4TH ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797142838",
            "telephone_number": "432-245-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 N Esplanade St",
            "address_purpose": "LOCATION",
            "city": "Karnes City",
            "state": "TX",
            "postal_code": "781182522",
            "country_code": "US",
            "telephone_number": "325-660-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOGOVITA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "WITTE-HUBBARD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "325-660-6960",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Miranda Kress
• Robert Stan Leeper, CRNA
• Living Country Home Care Services, Inc
• Diane C Lloyd, ATC
• Jessica J Logan
• Shanda Kristen Lyle, PTA
• James Dale Martin, RPH
• Raithel Jean Martin, MSE, LAT, ATC
• Kelley Deming Mathis, RN
• Gordon Patrick Mattimoe, FNP-C

• Professional Counselor in Andrews, TX
• Providers in Andrews, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.