Active NPI
Wholesome Intimacy PLLC
- Professional Counselor
- Mansfield, TX
National Provider Identifier
1205209756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- WHOLESOME INTIMACY PLLC
- Practice address
- 600 Strada Cir
Suite 112
Mansfield, TX 76063-3201 - Phone
- (817) 456-4893
- NPI assigned
- Nov 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lila J Stephenson, MA, LPC, CST
- Title
- Director
- Phone
- (817) 456-4893
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
600 Strada Cir
Suite 112
Mansfield, TX 76063-3201
Mailing address
PO Box 1138
Mansfield, TX 76063-1138
Phone (817) 456-4893
National Provider Directory
National Provider DirectoryLocations
600 Strada Cir
Ste 112
Mansfield, TX 76063
Phone (469) 682-1966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Mansfield, TX
- NPI 1922474154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484179200000",
"number": "1205209756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1138",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631138",
"telephone_number": "817-456-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 STRADA CIR",
"address_2": "SUITE 112",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633201",
"telephone_number": "817-456-4893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLESOME INTIMACY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2017-01-12",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "LILA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "817-456-4893",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA, LPC, CST"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.