JENNIFER PRUITT LPC - NPI 1962907329 - Counselor in Southlake, TX

The NPI number for Jennifer Pruitt is 1962907329. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Jennifer Pruitt was last updated on March 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Pruitt Lpc NPPES

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

JENNIFER PRUITT LPC (NPI 1962907329) is an individual mental health provider in Southlake, Texas and active in the NPI registry since March 2018.

NPI1962907329

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER PRUITTCredential: LPC

Location Address630 E SOUTHLAKE BLVD STE 112Southlake, TX 76092-6259

Mailing Address4704 Argyle LnArgyle, TX 76226-1517

Sole ProprietorNo

Enumeration DateMarch 28, 2018

✔ NPI 1962907329 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

630 E SOUTHLAKE BLVD STE 112, Southlake, TX 76092

Other74770TX · Texas State Board Of Examiners

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

The NPI number for Jennifer Pruitt is 1962907329. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Jennifer Pruitt practices at 630 E Southlake Blvd Ste 112, Southlake, TX 76092. The listed phone number is (214) 494-6287.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Jennifer Pruitt was last updated on March 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.