Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legal Business Name

Organization Professional Counselor · NPI 1669200804

Legal Business Name is a Professional Counselor 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
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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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