IndividualActive
Mary Fantle, LM&FT
NPI 1881904217 · Marriage & Family Therapist · Centennial, TX
Provider details
- NPI number
- 1881904217
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LM&FT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 927 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15798 E. Prentice Dr.
Centennial, TX 80015-4268
Phone: (303) 901-3313
Approximate (ZIP-level) locationGet directions
Mailing address
15798 E. Prentice Dr.
Centennial, TX 80015-4268
Registry dates
- Enumerated
- 2010-10-19
- Last updated
- 2010-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.