The Shape of Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE SHAPE OF WELLNESS

Practice address

512 Jeremy CT
Spring, TX 77386-1886

Phone

(832) 302-4072

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Darly SebastianNPI 1861018095

Title

Ceo

Phone

(832) 302-4072

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.

• Darly Sebastian

  • Mental Health Counselor
  • Spring, TX
  • NPI 1861018095

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1386260511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 JEREMY CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861886",
            "telephone_number": "832-302-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 JEREMY CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861886",
            "telephone_number": "832-302-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHAPE OF WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "DARLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-302-4072"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Spring, TX
• Providers in Spring, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.