Organization Active NPI

Her Healing Space Counseling Services, PLLC

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1750018925
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HER HEALING SPACE COUNSELING SERVICES, PLLC
Practice address
4925 Greenville Ave Ste 200
Dallas, TX 75206-0500
Phone
(214) 800-5131
NPI assigned
Aug 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Erica Sutton-Butler
Title
Owner
Phone
(469) 216-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4925 Greenville Ave Ste 200
Dallas, TX 75206-0500

Mailing address

4925 Greenville Ave Ste 200
Dallas, TX 75206-0500
Phone (214) 800-5131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1750018925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060500",
            "telephone_number": "214-800-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060500",
            "telephone_number": "214-800-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER HEALING SPACE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "SUTTON-BUTLER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-216-2305"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "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 Mar 21, 2023; 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.