Individual provider Active NPI

Mandalin Dorothy Wright, LMFT

  • Marriage & Family Therapist
  • Carrollton, TX
National Provider Identifier
1821824723
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204370 Issued in TX
Practice address
4425 Plano Pkwy Ste 601
Carrollton, TX 75010-5030
Phone
(682) 445-0431
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204370 TX Primary

Addresses

Primary practice location

4425 Plano Pkwy Ste 601
Carrollton, TX 75010-5030

Mailing address

6610 Free Range Dr
Dallas, TX 75241-6559
Phone (817) 404-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204370TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Treatment Center of Texas, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

4425 Plano Pkwy
Ste 601
Carrollton, TX 75010
Phone (682) 445-0431

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1821824723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 FREE RANGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752416559",
            "telephone_number": "817-404-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 601",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105030",
            "telephone_number": "682-445-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MANDALIN",
        "middle_name": "DOROTHY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.