Southlake Therapy Group

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHLAKE THERAPY GROUP

Practice address

1701 W Northwest Hwy
Grapevine, TX 76051-8127

Phone

(817) 290-6908

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Bailey Pittman, MS, LPCNPI 1558111401

Title

Owner

Phone

(817) 290-6908

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bailey Nicole Pittman, MS, LPC

  • Mental Health Counselor
  • Grapevine, TX
  • NPI 1558111401
  NPD Authorized official

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1275336554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N HILL DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518127",
            "telephone_number": "817-290-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAKE THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-290-6908",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan Solis, DDS
• Martin David Solomon, MD
• Lauren Grace Sommer
• Christian Sommerhalder
• Maricelle G Sorolla Olympia, MD
• Southwest Trauma Recovery Clinics
• Speak Inc
• Cherie Spellman, LMFT
• Kristen Spence, PHARMD
• Jennifer Lynne Spencer, OTR

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.