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WISE MIND RELATIONSHIP COUNSELING PLLC NPI 1841840873


NPI Information

NPI: 1841840873
Provider Name: WISE MIND RELATIONSHIP COUNSELING PLLC

Former Legal Business Name: MINDFUL PATH COUNSELING SERVICES PLLC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5750 GENESIS CT STE 135
FRISCO, TX
ZIP 75034
Phone: (425) 686-5631
Get Directions

WISE MIND RELATIONSHIP COUNSELING PLLC is a clinical social worker in Frisco, TX. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. WISE MIND RELATIONSHIP COUNSELING PLLC NPI is 1841840873. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mindful Path Counseling Services Pllc.

The provider's business location address is:

5750 GENESIS CT STE 135
FRISCO, TX
ZIP 75034-229
Phone: (425) 686-5631

The provider's authorized official is Lisa Anne Delaplace .
The authorized official title is Owner and has the following contact phone number (425) 281-0613.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 6/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
41041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1217035600MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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