Provider Demographics
NPI:1053071548
Name:NEW PATTERNS OF PERCEPTION LLC
Entity Type:Organization
Organization Name:NEW PATTERNS OF PERCEPTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLUPS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LPHA
Authorized Official - Phone:972-430-6706
Mailing Address - Street 1:4217 ALTAMESA BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-5401
Mailing Address - Country:US
Mailing Address - Phone:972-430-6706
Mailing Address - Fax:972-833-1006
Practice Address - Street 1:4217 ALTAMESA BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-5401
Practice Address - Country:US
Practice Address - Phone:972-430-1006
Practice Address - Fax:972-833-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty