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SOUTHLAKE CHILD AND FAMILY THERAPY
NPI 1689387797
Counselor - Professional in Southlake, TX

Active since January 04, 2023
2141 KIRKWOOD BLVD STE 130, SOUTHLAKE, TX 76092(817) 266-8676 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southlake Child And Family Therapy NPPES

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

SOUTHLAKE CHILD AND FAMILY THERAPY (NPI 1689387797) is a healthcare organization registered as a professional in Southlake, Texas and active in the NPI registry since January 2023. The organization lists Katharine Anne Ottone Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1689387797
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTHLAKE CHILD AND FAMILY THERAPY
Location Address2141 KIRKWOOD BLVD STE 130Southlake, TX 76092-1464
Mailing Address1933 Berkeley PlFort Worth, TX 76110-1209 · (817) 266-8676
Phone(817) 266-8676
Organization SubpartNo
Authorized OfficialKatharine Anne Ottone DavisOwner · (817) 266-8676
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1689387797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2141 KIRKWOOD BLVD STE 130, Southlake, TX 76092
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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 3

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

NEOGEN MENTAL HEALTH AND BEHAVIORAL SERVICES, PA.
Psychiatry & Neurology (Psychiatry)
2141 KIRKWOOD BLVD STE 130
SOUTHLAKE, TX 76092
Tarrant County (469) 955-5223
DR. EUGENE H FLETCHER D.O.
Psychiatry & Neurology (Psychiatry)
2141 KIRKWOOD BLVD STE 130
SOUTHLAKE, TX 76092
Tarrant County (469) 955-5223
MS. AMY LEE MASSIE LPC
Counselor (Professional)
2141 KIRKWOOD BLVD STE 130
SOUTHLAKE, TX 76092
Tarrant County (817) 477-6323

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 Child And Family Therapy's NPI number?

The NPI number for Southlake Child And Family Therapy is 1689387797. It was assigned to this organization in the NPPES registry on January 4, 2023.

Where is Southlake Child And Family Therapy located?

Southlake Child And Family Therapy is located at 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092. The listed phone number is (817) 266-8676.

What is Southlake Child And Family Therapy'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 Southlake Child And Family Therapy was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.