Mylyfe Counseling Center, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MYLYFE COUNSELING CENTER, PLLC

Practice address

2379 Gus Thomasson Rd Ste 300
Mesquite, TX 75150-7102

Phone

(469) 340-2887

NPI assigned

Jun 21, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiana Johnson Blanton, M.ED., LPC

Title

Therapist & Clinical Director

Phone

(469) 340-2887

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiana Johnson

  • Professional Counselor
  • Dallas, TX
  • NPI 1972130656
  NPD
• Brenai Blanton, LCSW

  • Clinical Social Worker
  • Mesquite, TX
  • NPI 1023855574
  NPD (past)
• Shandra Holland, LPC-A

  • Professional Counselor
  • Mesquite, TX
  • NPI 1902794332
  NPD (past)

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1972347193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 RUSSELL ST",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751140048",
            "telephone_number": "469-340-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD STE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507102",
            "telephone_number": "469-340-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLYFE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON BLANTON",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "THERAPIST & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "469-340-2887",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.