LIFEOLOGIE PLANO RICHARDSON
NPI 1245755081
Counselor in Richardson, TX

Q: What is Watershed Group Of Dallas, PLLC's NPI number?

The NPI number for Watershed Group Of Dallas, PLLC is 1245755081. It was assigned to this organization in the NPPES registry on August 12, 2017. The provider is doing business as Lifeologie Plano Richardson.

Q: What is Watershed Group Of Dallas, PLLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since August 12, 2017

3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082(214) 556-0996 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 12, 2017 (2 updates tracked since 2017).

On this page

About Lifeologie Plano Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEOLOGIE PLANO RICHARDSON (NPI 1245755081) is a healthcare organization registered as a counselor in Richardson, Texas and active in the NPI registry since August 2017. The organization lists Ly Hai Tran, Owner/executive Director, as its authorized official.

NPPES Registry Identity

NPI1245755081

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameWATERSHED GROUP OF DALLAS, PLLC

Location Address3600 SHIRE BLVD STE 208Richardson, TX 75082-2238

Mailing Address3600 Shire Blvd Ste 208Richardson, TX 75082-2238 · (214) 556-0996

Phone(214) 556-0996

Organization SubpartNo

Authorized OfficialLy Hai TranOwner/executive Director · (214) 556-0996

Enumeration DateAugust 12, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1245755081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in TX · 63770

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3600 SHIRE BLVD STE 208, Richardson, TX 75082

Open in Google Maps ↗

Other Names 1

Doing Business AsLifeologie Plano Richardson

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH KELLY FANNING LPC-ASSOCIATE

Counselor