Individual provider · Type 1 NPI

Taisa De Souza Formenti

Mental Health Counselor · Dallas, TX

NPI number 1184520165 Active

Practice location

6820 Woodmark Ct
Dallas, TX 75230-1928

Call (469) 952-7796 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X98819 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1184520165

Taisa De Souza Formenti's National Provider Identifier is 1184520165, issued on Oct 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Oct 16, 2026.