Organization · Type 2 NPI
Mud Lotus & Fire Psychotherapy PLLC
Professional Counselor · Dallas, TX
NPI number
1396641940
Active
Practice location
3900 Briargrove Ln Apt 14310
Dallas, TX 75287-8336
Fax (432) 201-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1396641940
Mud Lotus & Fire Psychotherapy PLLC's National Provider Identifier is 1396641940, issued on Oct 19, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Oct 19, 2026.