NPI 1689461048 · live from the CMS NPI Registry
290 Therapy
Counselor, Professional in Forney, TX. National Provider Identifier 1689461048, active.
NPI record
| NPI | 1689461048 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 6096 Determine Ln, Forney, TX 75126 |
| Practice phone | 309-490-4853 |
| Enumerated | April 21, 2025 |
| Last updated | April 23, 2025 |
| Authorized official | Tyra Steverson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.