Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MUD LOTUS & FIRE PSYCHOTHERAPY PLLC
NPI 1396641940
Counselor - Professional in Dallas, TX

Q: What is Mud Lotus & Fire Psychotherapy PLLC's NPI number?

The NPI number for Mud Lotus & Fire Psychotherapy PLLC is 1396641940. It was assigned to this organization in the NPPES registry on October 19, 2026.

Q: What is Mud Lotus & Fire Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since October 19, 2026

3900 BRIARGROVE LN APT 14310, DALLAS, TX 75287(469) 305-2433(432) 201-4619 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mud Lotus & Fire Psychotherapy Pllc NPPES

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

MUD LOTUS & FIRE PSYCHOTHERAPY PLLC (NPI 1396641940) is a healthcare organization registered as a professional in Dallas, Texas and active in the NPI registry since October 2026. The organization lists Tyler Ray Pruitt, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1396641940

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameMUD LOTUS & FIRE PSYCHOTHERAPY PLLC

Location Address3900 BRIARGROVE LN APT 14310Dallas, TX 75287-8336

Mailing Address3900 Briargrove Ln Apt 14310Dallas, TX 75287-8336 · (469) 305-2433 · Fax (432) 201-4619

Phone(469) 305-2433

Fax(432) 201-4619

Organization SubpartNo

Authorized OfficialTyler Ray PruittLicensed Professional Counselor · (469) 305-2433

Enumeration DateOctober 19, 2026

NPPES CertifiedOctober 19, 2026

✔ NPI 1396641940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

3900 BRIARGROVE LN APT 14310, Dallas, TX 75287

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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 Mud Lotus & Fire Psychotherapy PLLC's NPI number?

The NPI number for Mud Lotus & Fire Psychotherapy PLLC is 1396641940. It was assigned to this organization in the NPPES registry on October 19, 2026.

Where is Mud Lotus & Fire Psychotherapy PLLC located?

Mud Lotus & Fire Psychotherapy PLLC is located at 3900 Briargrove Ln Apt 14310, Dallas, TX 75287. The listed phone number is (469) 305-2433.

What is Mud Lotus & Fire Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mud Lotus & Fire Psychotherapy PLLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.