Wellness Plus Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLNESS PLUS COUNSELING SERVICES, LLC

Practice address

2080 N Hwy 360 Ste 220
Grand Prairie, TX 75050-1400

Phone

(817) 919-1603

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Tahirah Samuels, LCSW-SNPI 1629527619

Title

Owner/Social Worker

Phone

(817) 919-1603

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tahirah Samuels, LCSW-S

  • Clinical Social Worker
  • Grand Prairie, TX
  • NPI 1629527619
  NPD Authorized official

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1558823385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 JEFFERSON COURT LN APT 1630",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064247",
            "telephone_number": "817-919-1603",
            "fax_number": "682-252-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N HWY 360 STE 220",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501400",
            "telephone_number": "817-919-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PLUS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "TAHIRAH",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "817-919-1603",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Apr 1, 2019; 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.