Equuslibrium PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65461 Issued in TX

Legal business name

EQUUSLIBRIUM PC

Practice address

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700

Phone

(254) 690-1512

Fax

(254) 690-1532

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Denae Quaranta-Leech, LPC

Title

Owner

Phone

(325) 660-5434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1184055493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512",
            "fax_number": "254-690-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512",
            "fax_number": "254-690-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUUSLIBRIUM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "QUARANTA-LEECH",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "DENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-660-5434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.