Living Proof Mental Health, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Rockwall, TX. Organization (NPI-2).
NPI number1609610831
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1609610831
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Proof Mental Health, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2024
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2235 Ridge Rd Ste 103Rockwall, TX 75087-5159
Phone 903-213-5248 · Fax 469-264-5016
Mailing address
10532 County Road 2452Royse City, TX 75189-7314
Phone 903-491-6950
Authorized official
Logen Ashford
Owner
9034916950
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