Organization
SOUTHLAKE THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY PITTMAN MS, LPC (OWNER)
(817) 290-6908
Entity
Organization
Contact information
Practice address
1701 W NORTHWEST HWY, GRAPEVINE, TX 76051-8127
(817) 290-6908
Mailing address
2025 N HILL DR, IRVING, TX 75038-6217
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us