Bella Living Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37675 Issued in TX

Legal business name

BELLA LIVING PSYCHOLOGICAL SERVICES, PLLC

Practice address

6777 Camp Bowie Blvd Ste 323
Fort Worth, TX 76116-7178

Phone

(817) 615-9361

NPI assigned

Apr 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Renee Lexow, PSYDNPI 1407372246

Title

Clinical Director

Phone

(616) 485-2116

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.

• Renee Marie Lexow, PSYD

  • Clinical Psychologist
  • Fort Worth, TX
  • NPI 1407372246
  NPD Authorized official

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1649777871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 EDGEHILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164417",
            "telephone_number": "616-485-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 323",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167178",
            "telephone_number": "817-615-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA LIVING PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LEXOW",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "616-485-2116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "37675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.