Organization · NPI-2
3:30 Counseling & Psychological Services PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Jefferson, TX
NPI number1811787476
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1811787476
- Entity type
- Organization (NPI-2)
- Legal business name
- 3:30 Counseling & Psychological Services PLLC
- Organization subpart
- No
- Enumeration date
- May 7, 2025
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 103TS0200X | Psychologist, School | – | – | |
| 104100000X | Social Worker | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 1041S0200X | Social Worker, School | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Other names
- 3:30 Counseling & Psychological Services PLLC (Doing Business As)
Practice location
3831 Blackjack RdJefferson, TX 75657-8296
Phone 903-268-9958
Mailing address
3831 Blackjack RdJefferson, TX 75657-8296
Phone 903-268-9958
Other practice locations
3831 Blackjack Rd
Jefferson, TX 75657-8296
Jefferson, TX 75657-8296
Phone 903-268-9958
Authorized official
Lisa Marie Daniel
Lpc, Lssp, Owner
9032689958
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