NPI 1336766393 · live from the CMS NPI Registry
3ftl
Clinic/Center, Mental Health (Including Community Mental Health Center) in Prosper, TX. National Provider Identifier 1336766393, active.
NPI record
| NPI | 1336766393 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 301 N Preston Rd Ste Bprosper, Prosper, TX 75078 |
| Practice phone | 972-347-1320 |
| Mailing address | 1116 Macgregor Ln, Gunter, TX 75058 |
| Enumerated | June 25, 2020 |
| Last updated | June 25, 2020 |
| Authorized official | Jennifer Halley, Owner |
| Other names | 3ftl |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist | 103T00000X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.