# FIVE SEASONS THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Five Seasons Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487333944
- **Authorized official:** TERRI PENG LCSW, LICSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (469) 422-0376

## Contact information

- **Practice address:** 945 STOCKTON DR UNIT 7100, ALLEN, TX 75013-6155
- **Practice address phone:** (469) 422-0376
- **Mailing address:** 945 STOCKTON DR UNIT 7100, ALLEN, TX 75013-6155
- **Mailing address phone:** (469) 422-0376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 07/12/2023
- **Last updated:** 07/12/2023