Active NPI
Your Life Counseling Center, PLLC
- Clinical Social Worker
- Allen, TX
National Provider Identifier
1699010959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38296
- Legal business name
- YOUR LIFE COUNSELING CENTER, PLLC
- Practice address
- 400 N Allen Dr
Suite #103
Allen, TX 75013-2555 - Phone
- (469) 569-3945
- NPI assigned
- Nov 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanti Majefski, LCSW
- Title
- Manager/Member
- Phone
- (469) 569-3945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 38296 | TX | Primary |
Addresses
Primary practice location
400 N Allen Dr
Suite #103
Allen, TX 75013-2555
Mailing address
400 N Allen Dr
Suite #103
Allen, TX 75013-2555
Phone (469) 569-3945
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365638400000",
"number": "1699010959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N ALLEN DR",
"address_2": "SUITE #103",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132555",
"telephone_number": "469-569-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N ALLEN DR",
"address_2": "SUITE #103",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132555",
"telephone_number": "469-569-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR LIFE COUNSELING CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-27",
"last_updated": "2013-04-11",
"status": "A",
"authorized_official_last_name": "MAJEFSKI",
"authorized_official_first_name": "SHANTI",
"authorized_official_title_or_position": "MANAGER/MEMBER",
"authorized_official_telephone_number": "469-569-3945",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.