MYSTIC MAZE THERAPY AND CONSULTATION, PLLC
NPI 1740928027
Counselor in Dallas, TX

Active since May 25, 2022
1411 TAPERWICKE DR, DALLAS, TX 75232(469) 542-0463 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, May 25, 2022 (2 updates tracked since 2022).

About Mystic Maze Therapy And Consultation, Pllc NPPES

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

MYSTIC MAZE THERAPY AND CONSULTATION, PLLC (NPI 1740928027) is a healthcare organization registered as a counselor in Dallas, Texas and active in the NPI registry since May 2022. The organization lists Veronica Frazier, Owner/supervisor, as its authorized official.

NPPES Registry Identity

NPI1740928027
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameMYSTIC MAZE THERAPY AND CONSULTATION, PLLC
Location Address1411 TAPERWICKE DRDallas, TX 75232-4609
Mailing Address722 Oakbluff DrLancaster, TX 75146-1429 · (469) 542-0463
Organization SubpartNo
Authorized OfficialVeronica FrazierOwner/supervisor · (469) 542-0463
Enumeration DateMay 25, 2022
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1740928027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1411 TAPERWICKE DR, Dallas, TX 75232

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1411 TAPERWICKE DR, UNIT 115
DALLAS, TX 75232

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 Mystic Maze Therapy And Consultation, PLLC's NPI number?

The NPI number for Mystic Maze Therapy And Consultation, PLLC is 1740928027. It was assigned to this organization in the NPPES registry on May 25, 2022.

Where is Mystic Maze Therapy And Consultation, PLLC located?

Mystic Maze Therapy And Consultation, PLLC is located at 1411 Taperwicke Dr, Dallas, TX 75232. The listed phone number is (469) 542-0463.

What is Mystic Maze Therapy And Consultation, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mystic Maze Therapy And Consultation, PLLC was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.