Gallo Therapy

Primary specialty

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

Legal business name

GALLO THERAPY

Practice address

1509 S University Dr Ste B212
Fort Worth, TX 76107-9501

Phone

(817) 454-9683

NPI assigned

Jun 27, 2021

Last updated

Jul 1, 2021By 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

Mrs. Angela Gallo, LMFTNPI 1457941486

Title

Owner/LMFT

Phone

(817) 454-9683

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Angela Gallo, LMFT

  • Marriage & Family Therapist
  • Fort Worth, TX
  • NPI 1457941486
  NPD Authorized official

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1366012916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 SADLER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331822",
            "telephone_number": "817-454-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S UNIVERSITY DR STE B212",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761079501",
            "telephone_number": "817-454-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLO THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "817-454-9683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gallotherapy@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1509 S University Dr Ste B212",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761079501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arianne Maria Gallaty, M.D.
• Nichole Galle, PT, DPT, CSCS
• Brenda Irene Gallegos
• Gerardo Gallegos Jr.
• Abbie Gallman, BCBA
• Angela Gallo, LMFT
• Teresa Gallo
• Amanda Gallof
• Kathlyn Galloway, FNP
• Jeremy Scott Gallups, RN, BSN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Worth, TX
• Providers in Fort Worth, 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 Jul 1, 2021; 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.