Provider Demographics
NPI:1023211539
Name:SOARING EAGLES COUNSELING PLLC
Entity Type:Organization
Organization Name:SOARING EAGLES COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW, CART
Authorized Official - Phone:972-870-5566
Mailing Address - Street 1:3213 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4426
Mailing Address - Country:US
Mailing Address - Phone:972-870-5566
Mailing Address - Fax:972-870-5577
Practice Address - Street 1:3213 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4426
Practice Address - Country:US
Practice Address - Phone:972-870-5566
Practice Address - Fax:972-870-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty