Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Legal Business Name

Organization Professional Counselor · NPI 1669200804

Legal Business Name provides Professional Counselor services in Joshua, Texas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

120 Independence Dr
Joshua, TX 76058-4645
Phone: (903) 237-9689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1669200804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Simmons — Counselor · (903) 237-9689
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 21, 2024
Mailing address120 Independence Dr, Joshua, TX 76058-4645

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