Organization Active NPI

Cannenta Center for Healing and Empowerment LLC

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1629647318
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CANNENTA CENTER FOR HEALING AND EMPOWERMENT LLC
Practice address
351 W Jefferson Blvd # 302
Dallas, TX 75208-4859
Phone
(214) 267-9556
Fax
(469) 916-9961
NPI assigned
Jun 17, 2021
Last updated
Nov 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

Name
Dr. Leticia L Cavazos, LMSW, LCDCNPI 1457924169
Title
Founder/Ceo
Phone
(214) 267-8946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

351 W Jefferson Blvd # 302
Dallas, TX 75208-4859

Mailing address

351 W Jefferson Blvd Ste 302
Dallas, TX 75208-4859
Phone (214) 267-9556

Other practice location 1

15620 Quorum Dr
Addison, TX 75001
Phone (214) 267-9556

Other practice location 2

15851 Dallas Pkwy
Addison, TX 75001-3369
Phone (214) 267-9556

Other practice location 3

2621 N Main Ave
San Antonio, TX 78212-2920
Phone (469) 916-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220512000489 TX Part B Supplier - Clinic/Group Practice 9739566795 Receives reassigned benefits from 5 practitioners
Practice locations: San Antonio, TX; Dallas, TX; Addison, TX

National Provider Directory

National Provider Directory

Locations

15620 Quorum Dr
Addison, TX 75001
Phone (214) 267-8946

15851 Dallas Pkwy
Addison, TX 75001
Phone (214) 267-9556

351 W Jefferson Blvd
#302
Dallas, TX 75208
Phone (214) 267-8946

351 W Jefferson Blvd
Ste 302
Dallas, TX 75208
Phone (214) 267-8946

14855 Blanco Rd
Ste 320
San Antonio, TX 78216
Phone (210) 201-3191

2621 N Main Ave
San Antonio, TX 78212
Phone (210) 201-3191

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1629647318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W JEFFERSON BLVD STE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084859",
            "telephone_number": "214-267-9556",
            "fax_number": "469-916-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W JEFFERSON BLVD # 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084859",
            "telephone_number": "214-267-9556",
            "fax_number": "469-916-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15620 Quorum Dr",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "75001",
            "country_code": "US",
            "telephone_number": "214-267-9556",
            "fax_number": "469-916-9961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15851 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013369",
            "country_code": "US",
            "telephone_number": "214-267-9556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782122920",
            "country_code": "US",
            "telephone_number": "469-916-9961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANNENTA CENTER FOR HEALING AND EMPOWERMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "214-267-8946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.