Deep Waters Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEEP WATERS THERAPY, PLLC

Practice address

11472 Clover Knoll Dr
Frisco, TX 75035-8607

Phone

(904) 390-1077

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Kylie Henry, LPCNPI 1235761941

Title

Owner

Phone

(940) 390-1077

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kylie Henry, LPC INTERN

  • Mental Health Counselor
  • Plano, TX
  • NPI 1235761941
  NPD Authorized official

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1104798388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11472 CLOVER KNOLL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358607",
            "telephone_number": "904-390-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11472 CLOVER KNOLL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358607",
            "telephone_number": "904-390-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP WATERS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-390-1077",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deepgaurav Healthcare PLLC
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• Mental Health Counselor in Frisco, TX
• Providers in Frisco, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.