Therapeutically Chosen, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64643 Issued in TX

Legal business name

THERAPEUTICALLY CHOSEN, LLC

Practice address

9500 Ray White Rd
Suite 200
Fort Worth, TX 76244-9104

Phone

(817) 975-0062

Fax

(469) 443-0461

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Terah Harrison, LPC

Title

Owner

Phone

(817) 975-0062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1275872913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449104",
            "telephone_number": "817-975-0062",
            "fax_number": "469-443-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449104",
            "telephone_number": "817-975-0062",
            "fax_number": "469-443-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTICALLY CHOSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TERAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-975-0062",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.