Pivotal Moments Counseling Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PIVOTAL MOMENTS COUNSELING CENTER, PLLC

Practice address

2315 Balleybrooke Dr
Lewisville, TX 75077-7634

Phone

(469) 693-7564

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Stacy M Teague, LCSWNPI 1700521069

Title

Owner/Practitioner

Phone

(972) 818-5981

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Marie Teague, LCSW

  • Clinical Social Worker
  • Lewisville, TX
  • NPI 1700521069
  NPD Authorized official
• Brittany Waddell, LMSW

  • Social Worker
  • Lewisville, TX
  • NPI 1063213486
  NPD

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1750187225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BALLEYBROOKE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BALLEYBROOKE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777634",
            "telephone_number": "469-693-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL MOMENTS COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "972-818-5981",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Philipose, FNP
• Phillip F Sehnert DDS PA
• Shauna Phillips, PTA
• Physician'S Homecare, Inc
• Stacy J Pitre
• Thomas E Piwonka, M.D.
• Brenda Jo Place
• Gary Plask
• Pleasant Passage Transport LLC
• Danielle Plum, OTR/L

• Clinical Social Worker in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.