NPIMap

Organization Active NPI

Life Skills Counseling Center

  • Professional Counselor
  • Southlake, TX
National Provider Identifier
1295019131
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13939 Issued in TX
Legal business name
LIFE SKILLS COUNSELING CENTER
Practice address
700 E Southlake Blvd
Suite 190
Southlake, TX 76092-6353
Phone
(817) 416-2344
Fax
(817) 483-1198
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Adam D Coffey, PH.D.
Title
Owner
Phone
(214) 535-6369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 13939 TX Primary

Addresses

Primary practice location

700 E Southlake Blvd
Suite 190
Southlake, TX 76092-6353

Mailing address

5222 Saratoga LN
Arlington, TX 76017-1863
Phone (214) 535-6369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1295019131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 SARATOGA LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171863",
            "telephone_number": "214-535-6369",
            "fax_number": "817-483-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SOUTHLAKE BLVD",
            "address_2": "SUITE 190",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926353",
            "telephone_number": "817-416-2344",
            "fax_number": "817-483-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-535-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.