Provider Demographics
NPI:1164760518
Name:REALISTIC EXPECTATIONS, PLLC
Entity type:Organization
Organization Name:REALISTIC EXPECTATIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWSOM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:972-696-9359
Mailing Address - Street 1:1771 INTERNATIONAL PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-1865
Mailing Address - Country:US
Mailing Address - Phone:972-696-9359
Mailing Address - Fax:844-828-3612
Practice Address - Street 1:1771 INTERNATIONAL PKWY STE 107
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1865
Practice Address - Country:US
Practice Address - Phone:972-696-9359
Practice Address - Fax:844-828-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-19
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
TX801696071251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty