Organization · NPI-2
360 Counseling & Wellness, PLLC
Counselor, Professional · Dallas, TX
NPI number1326780438
StatusActive
Last updated in NPPESApr 9, 2022
Details
- NPI
- 1326780438
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Counseling & Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2022
- Certification date
- Apr 9, 2022
- Last updated
- Apr 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Other names
- 360 Counseling And Wellness, PLLC (Doing Business As)
Practice location
207 S Tyler StDallas, TX 75208-4934
Phone 847-708-5370
Mailing address
1313 Bradbury DrCarrollton, TX 75007-6060
Phone 847-708-5370 · Fax 214-736-1190
Authorized official
Evena M Pierre
Owner And Ceo
8477085370
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