Southlake Therapy Group

Southlake Therapy Group is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Grapevine, TX, holding Type 2 (organization) NPI 1275336554 since 2025. The authorized official on file is Bailey Pittman, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1275336554
Entity type	Organization (Type 2)
Legal business name	Southlake Therapy Group
Practice address	1701 W NORTHWEST HWY, Grapevine, TX, 76051
Phone	8172906908
Enumeration date	2025-03-31
Last updated in NPPES	2025-03-31

Authorized official

Name	Bailey Pittman
Title	Owner
Phone	8172906908

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	Primary	—	—

Copy-ready billing details

Provider: Southlake Therapy Group
NPI: 1275336554
Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center))
Address: 1701 W NORTHWEST HWY, Grapevine, TX, 76051

Providers at this address

NPI	Name	Type	Specialty	Location
1831134303	Stephen M Wallach Hcs Providers	Organization	Case Management Agency	Grapevine, TX
1609065721	Pamela Walker	Individual	Clinical Social Worker	Grapevine, TX
1538537741	Matyas Koos	Individual	Professional Counselor	Grapevine, TX
1942723259	Stacey Kirkpatrick	Individual	Registered Dietitian	Grapevine, TX
1194470187	Jun Zhao	Organization	Registered Dietitian	Grapevine, TX

Verify this record

Cross-check NPI 1275336554 against the authoritative CMS record: view Southlake Therapy Group on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Southlake Therapy Group located?

The practice location on file with NPPES is in Grapevine, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-31. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-31.