Support Space Therapy and Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUPPORT SPACE THERAPY AND WELLNESS, PLLC

Practice address

560 Hidden Meadow Dr
Keller, TX 76248-1228

Phone

(972) 914-3951

NPI assigned

Nov 16, 2023

Last updated

Nov 16, 2023By 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

Martha Franek-Montanez, LPC-SNPI 1922606771

Title

Owner/Therapist

Phone

(972) 914-3951

Specialties & licenses 1

Addresses

Tax ID family

Support Space Therapy and Wellness PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Support Space Therapy and Wellness, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Keller, TX
  • NPI 1518732254
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha Franek-Montanez, LPC

  • Mental Health Counselor
  • Keller, TX
  • NPI 1922606771
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1265207575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BLVD #134, BOX 139",
            "city": "N RICHLND HLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "917-914-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HIDDEN MEADOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481228",
            "telephone_number": "972-914-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SPACE THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "FRANEK-MONTANEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "972-914-3951",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Stumm, MS/ABD, CCC-SLP
• Kyndra Sturdivant
• Justin Daniel Sudbeck, APRN, AGACNP-BC
• Sugar N Spice Total Body Wellness Spa (Sugar N Spice And All Of You Are Ni)
• Superior Lifestyles Assisted Living
• Support Space Therapy and Wellness, PLLC
• Omini Surapaneni, B.PHARM
• Ryan Temal Surujdin
• SV LLC (Alexa Pharmacy)
• Heather Sylvia

• Mental Health Counselor in Keller, TX
• Providers in Keller, 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 Nov 16, 2023; 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.