SOUTHLAKE THERAPY GROUP
NPI 1275336554
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grapevine, TX

Active since March 31, 2025
1701 W NORTHWEST HWY, GRAPEVINE, TX 76051(817) 290-6908 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southlake Therapy Group NPPES

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

SOUTHLAKE THERAPY GROUP (NPI 1275336554) is a healthcare organization registered as a mental health (including community mental health center) in Grapevine, Texas and active in the NPI registry since March 2025. The organization lists Bailey Pittman, Owner, as its authorized official.

NPPES Registry Identity

NPI1275336554
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHLAKE THERAPY GROUP
Location Address1701 W NORTHWEST HWYGrapevine, TX 76051-8127
Mailing Address2025 N Hill DrIrving, TX 75038-6217
Organization SubpartNo
Authorized OfficialBailey PittmanOwner · (817) 290-6908
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1275336554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1701 W NORTHWEST HWY, Grapevine, TX 76051

Other Providers at the Same Location NPPES 5

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

Dietitian, Registered
1701 W NORTHWEST HWY
GRAPEVINE, TX 76051
Counselor (Professional)
1701 W NORTHWEST HWY, SUITE #100
GRAPEVINE, TX 76051
Social Worker (Clinical)
1701 W NORTHWEST HWY, SUITE 100
GRAPEVINE, TX 76051
Case Management
1701 W NORTHWEST HWY, SUITE 100
GRAPEVINE, TX 76051
Dietitian, Registered
1701 W NORTHWEST HWY
GRAPEVINE, TX 76051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Therapy Group's NPI number?

The NPI number for Southlake Therapy Group is 1275336554. It was assigned to this organization in the NPPES registry on March 31, 2025.

Where is Southlake Therapy Group located?

Southlake Therapy Group is located at 1701 W Northwest Hwy, Grapevine, TX 76051. The listed phone number is (817) 290-6908.

What is Southlake Therapy Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Southlake Therapy Group was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.