Wellformed AI

NPI 1619828811 · live from the CMS NPI Registry

903 Counseling

Counselor, Professional in Longview, TX. National Provider Identifier 1619828811, active.

NPI record

NPI1619828811 Type 2 · organization
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location102 Commander Dr Ste 6, Longview, TX 75605
Practice phone903-320-4645
EnumeratedFebruary 4, 2026
Last updatedSeptember 14, 2026
Authorized officialCourtney Lafleur, Licensed Professional Counselor

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.