Provider Demographics
NPI:1730763897
Name:SPELLINGS, TIMOTHY DAVID (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:DAVID
Last Name:SPELLINGS
Suffix:
Gender:M
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 EASTRIDGE DR APT 1027
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3392
Mailing Address - Country:US
Mailing Address - Phone:936-404-9113
Mailing Address - Fax:
Practice Address - Street 1:717 W MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-2939
Practice Address - Country:US
Practice Address - Phone:214-235-9087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15904101YA0400X
TX203904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)