Vitra Counseling Associates, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32738 Issued in TX

Legal business name

VITRA COUNSELING ASSOCIATES, PLLC

Practice address

2736 Denali Park Dr
Grand Prairie, TX 75050-1309

Phone

(214) 293-5294

Fax

(972) 606-1044

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Traci Alisia Perry, LCSW

Title

Manager-Member

Phone

(214) 293-5294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1407155419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 DENALI PARK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501309",
            "telephone_number": "214-293-5294",
            "fax_number": "972-606-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 DENALI PARK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501309",
            "telephone_number": "214-293-5294",
            "fax_number": "972-606-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRA COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "ALISIA",
        "authorized_official_title_or_position": "MANAGER-MEMBER",
        "authorized_official_telephone_number": "214-293-5294",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.