Professional Counseling Center Pllc

LBN: Professional Counseling Center Pllc
Professional Counseling Center Pllc is an health care organization with primary practice located at 6612 N Riverside Dr Suite 140, Fort Worth TX 76137-6663. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Professional Counseling Center Pllc can be contacted via phone (817) 306-9770, or through Phillips, Yvette via phone (817) 306-9770.

Contact Information

Primary practice address
6612 N Riverside Dr Suite 140 Fort Worth TX 76137-6663
Phone: (817) 306-9770
Fax: (817) 306-0664
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Yvette PSYD
Phone: (817) 306-9770

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 63253 Texas

Profile Details

NPI number 1245400589
LBN Legal business name Professional Counseling Center Pllc
DBA Doing business as
Authorized official Phillips, Yvette PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Jun 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245400589 NPPES
Texas MEDICAID 1883613-01

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