Provider Demographics
NPI:1023559556
Name:JUNAITA RISCHARD, LLC
Entity Type:Organization
Organization Name:JUNAITA RISCHARD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-432-1463
Mailing Address - Street 1:4568 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3342
Mailing Address - Country:US
Mailing Address - Phone:972-400-5482
Mailing Address - Fax:
Practice Address - Street 1:2121 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 114
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4100
Practice Address - Country:US
Practice Address - Phone:972-400-5482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty