Provider Demographics
NPI:1912187063
Name:THE COUCH, P.A.
Entity Type:Organization
Organization Name:THE COUCH, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANGEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:AWASTHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-496-7700
Mailing Address - Street 1:3901 W GREEN OAKS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016
Mailing Address - Country:US
Mailing Address - Phone:817-496-7700
Mailing Address - Fax:817-496-8622
Practice Address - Street 1:3901 W GREEN OAKS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2795
Practice Address - Country:US
Practice Address - Phone:817-496-7700
Practice Address - Fax:817-496-8622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7537103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty