Provider Demographics
NPI:1659984854
Name:THE CENTER FOR COMPASSION AND WELLBEING, PLLC
Entity Type:Organization
Organization Name:THE CENTER FOR COMPASSION AND WELLBEING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BERGEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-723-0730
Mailing Address - Street 1:224 CHISHOLM TRL
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2752
Mailing Address - Country:US
Mailing Address - Phone:817-723-0730
Mailing Address - Fax:
Practice Address - Street 1:3605 YUCCA DR STE 202
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2753
Practice Address - Country:US
Practice Address - Phone:972-656-8208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)