Spade Therapy Co., PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SPADE THERAPY CO., PLLC

Practice address

206 N State St
Decatur, TX 76234-1444

Phone

(817) 694-1865

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Tristian Davis, LPCNPI 1427893163

Title

Owner/LPC

Phone

(817) 694-1865

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.

• Tristian Davis, LPC

  • Counselor
  • Paradise, TX
  • NPI 1427893163
  NPD Authorized official

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1639065162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SCOTT RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760888173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N STATE ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341444",
            "telephone_number": "817-694-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADE THERAPY CO., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TRISTIAN",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "817-694-1865",
        "authorized_official_credential": "LPC"
    },
    "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 Decatur, TX
• Providers in Decatur, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.