Mello-Dee Capps

Individual provider Active NPI Mental Health Counselor · Haslet, TX

NPI 1497522056 · NPPES record last updated Dec 5, 2023

Key facts

NPI
1497522056
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
86992 (TX)
Practice address
12520 Willow Springs Rd Ste 100
Haslet, TX 76052-3584
Phone
(817) 812-2880
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86992TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86992 TX Yes

Addresses

Primary practice location

12520 Willow Springs Rd Ste 100
Haslet, TX 76052-3584

Mailing address

5751 Park Vista Cir Ste 101
Fort Worth, TX 76244-5693

Other providers in Haslet, TX

All providers in Haslet, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.