Active NPI
Selah Counseling & Wellness Centre
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1265838387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37028
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Dallas, TX
- NPI 1003802174
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.