At the Table Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20024 Issued in TX

Legal business name

AT THE TABLE COUNSELING, PLLC

Practice address

2300 Valley View LN Ste 338
Irving, TX 75062-1776

Phone

(214) 684-5867

Fax

(214) 393-4793

NPI assigned

Sep 18, 2009

Last updated

Sep 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soneakqua White, LPC

Title

Licensed Professional Counselor

Phone

(214) 684-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1336473602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN STE 338",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621776",
            "telephone_number": "214-684-5867",
            "fax_number": "214-393-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN STE 338",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621776",
            "telephone_number": "214-684-5867",
            "fax_number": "214-393-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT THE TABLE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SONEAKQUA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "214-684-5867",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "20024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194340901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.