Marriage Fully Alive LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2200944 Issued in TX

Legal business name

MARRIAGE FULLY ALIVE LLC

Practice address

1506 N Greenville Ave Ste 250
Allen, TX 75002-8692

Phone

(214) 629-6133

Fax

(972) 943-7128

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Corey David Allan

Title

Owner

Phone

(214) 629-6133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1891933222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N GREENVILLE AVE STE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028692",
            "telephone_number": "214-629-6133",
            "fax_number": "972-943-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N GREENVILLE AVE STE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028692",
            "telephone_number": "214-629-6133",
            "fax_number": "972-943-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE FULLY ALIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-629-6133",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2200944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tinu Manthuruthil, PHARMD
• Kayla Mapps, M.D.
• Lacy Marchbanks, CCC-SLP
• Mark S Henderson M D P a
• Lynn Marlett, APN
• Lauren Marshall, MS, LMFT
• Rychlend Carrington Noell Martin-Horne, PHARMD
• Arian Martin
• Arianna Lea Martinez
• Denise Martinez, LPC

• Marriage & Family Therapist in Allen, TX
• Providers in Allen, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.