Counseling Innovation Services LLC
Organization Active NPI Professional Counselor · Jacksonville, TX
NPI 1487904272 · NPPES record last updated Sep 21, 2012
Key facts
- NPI
- 1487904272
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- COUNSELING INNOVATION SERVICES LLC
- Practice address
- 514 E Commerce St
Jacksonville, TX 75766-4910 - Phone
- (903) 284-1975
- NPI assigned
- Sep 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Charlene McCauley Mayfield, LPC
- Title
- Owner
- Phone
- (903) 284-1975
National Provider Directory
Locations
514 E Commerce St
Jacksonville, TX 75766
Phone (903) 284-6244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
514 E Commerce St
Jacksonville, TX 75766-4910
Mailing address
514 E Commerce St
Jacksonville, TX 75766-4910
Phone (903) 284-1974
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.