Psych Fit LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PSYCH FIT LLC

Practice address

501 Pine Tree Rd # a-6
Longview, TX 75604-4000

Phone

(430) 201-4646

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Doug Wells, LPCNPI 1356704993

Title

Owner

Phone

(430) 201-4646

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doug Wells, LPC

  • Professional Counselor
  • Longview, TX
  • NPI 1356704993
  NPD Authorized official

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1356704902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E LOOP 281 STE B101",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055077",
            "telephone_number": "430-201-4646",
            "fax_number": "903-797-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PINE TREE RD # A-6",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044000",
            "telephone_number": "430-201-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH FIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "430-201-4646",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Step Corp (Longview Therapy Center)
• Prosthetic-Orthotic Associates of East Texas, Inc.
• Brent Pruitt
• D'Asa N Pruitt, RBT
• Kassandra Sparks Pruitt, COTA
• Uma Pulipaka, M.D.
• Betty Putt
• Saif Syed Quadri, DO
• Alissa Quick, RN
• Jennifer A Quine, LPC

• Community/Behavioral Health Agency in Longview, TX
• Providers in Longview, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.