Hcsvs Mental Health Telemedicine Startup PBC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

HCSVS MENTAL HEALTH TELEMEDICINE STARTUP PBC

Practice address

702 Houston St
Fort Worth, TX 76102-5004

Phone

(347) 515-2417

NPI assigned

May 6, 2025

Last updated

May 6, 2025By 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

Laurence Girard

Title

Chairman

Phone

(347) 515-2417

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1215726047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GARDEN ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HOUSTON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025004",
            "telephone_number": "347-515-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCSVS MENTAL HEALTH TELEMEDICINE STARTUP PBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "347-515-2417"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Hazen, M.D.
• Kaitlyn Hazlewood, MS, CCC-SLP
• Shana Leigh Hazzard, LCSW
• HB Health PLLC
• HBCS Enterprises LLC (AmeriCare Fort Worth)
• HDC Podiatry, LLC
• Timothy Alan Head, D.O.
• Headlands Dialysis, LLC (Hulen Dialysis)
• Johnna Kaye Headley
• Jana Heady, MS

• Counseling Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.