Provider Demographics
NPI:1346720638
Name:FIG TREE MARRIAGE THERAPY PROFESSIONAL COUNSELING, PLLC
Entity type:Organization
Organization Name:FIG TREE MARRIAGE THERAPY PROFESSIONAL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCI
Authorized Official - Phone:972-965-1450
Mailing Address - Street 1:207 W BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2066
Mailing Address - Country:US
Mailing Address - Phone:972-965-1450
Mailing Address - Fax:
Practice Address - Street 1:207 W BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2066
Practice Address - Country:US
Practice Address - Phone:972-965-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64895101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty