Organization Active NPI

Living Mind Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, TX
National Provider Identifier
1114766037
Registry record updated May 21, 2024
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
LIVING MIND THERAPY PLLC
Practice address
4400 W University Blvd Apt 10307
Dallas, TX 75209-3898
Phone
(281) 841-4869
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
David Procter
Title
Manager
Phone
(281) 841-4869

Specialties & licenses 1

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

Addresses

Primary practice location

4400 W University Blvd Apt 10307
Dallas, TX 75209-3898

Mailing address

4400 W University Blvd Apt 10307
Dallas, TX 75209-3898
Phone (281) 841-4869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1114766037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W UNIVERSITY BLVD APT 10307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093898",
            "telephone_number": "281-841-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W UNIVERSITY BLVD APT 10307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093898",
            "telephone_number": "281-841-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING MIND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PROCTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-841-4869"
    },
    "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 Dallas, TX

Sources for this page

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