Valhalla Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

VALHALLA WELLNESS

Practice address

8551 Boat Club Rd Ste 101
Fort Worth, TX 76179-3674

Phone

(682) 708-3460

Fax

(682) 708-3121

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Teresa Johnson, LPC

Title

Owner

Phone

(682) 708-3460

Specialties & licenses 1

Addresses

Tax ID family

Valhalla Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valhalla Wellness

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1144867821
  NPD tax ID

Locations

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1659837409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BOAT CLUB RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793674",
            "telephone_number": "682-708-3460",
            "fax_number": "682-708-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 BOAT CLUB RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793674",
            "telephone_number": "682-708-3460",
            "fax_number": "682-708-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALHALLA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-708-3460",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Teodoro Valenzuela
• Yolanda Valenzuela, PHD
• Miranda Valera, CRNA
• Nicole Valetutto, FNP-C
• Valhalla Wellness
• Valiant Life Medical PLLC
• Ismael Valladares
• Kelly L Vallance, MD, MPH
• James Homer Vallaster, APRN FNP-BC
• Sergio Vallejo, PA-C

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, 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 11, 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.