Authentic Therapy Solutions PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AUTHENTIC THERAPY SOLUTIONS PLLC

Practice address

13747 Montfort Dr Ste 230
Dallas, TX 75240-4454

Phone

(214) 506-3134

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Buddy Detzel, LPC

Title

Owner

Phone

(214) 701-1987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1982487302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11846 RUPLEY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182068",
            "telephone_number": "214-506-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404454",
            "telephone_number": "214-506-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC THERAPY SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "DETZEL",
        "authorized_official_first_name": "BUDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-701-1987",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.