Organization Active NPI

Selah Counseling & Wellness Centre

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1265838387
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37028 Issued in TX
Legal business name
SELAH COUNSELING & WELLNESS CENTRE
Practice address
12850 Hillcrest Rd
Suite F206
Dallas, TX 75230-1529
Phone
(972) 404-8253
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Christa M Soileau, LCSW
Title
Counselor
Phone
(972) 522-9193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 37028 TX Primary

Addresses

Primary practice location

12850 Hillcrest Rd
Suite F206
Dallas, TX 75230-1529

Mailing address

PO Box 73
Mansfield, TX 76063-0073

National Provider Directory

National Provider Directory

Locations

12850 Hillcrest Rd
Ste F
Dallas, TX 75230
Phone (972) 404-8253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1265838387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760630073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 HILLCREST RD",
            "address_2": "SUITE F206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301529",
            "telephone_number": "972-404-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH COUNSELING & WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SOILEAU",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "972-522-9193",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37028",
            "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 Nov 17, 2014; 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.