Provider Demographics
NPI:1043764491
Name:STAY THE COURSE VETERAN SERVICES
Entity Type:Organization
Organization Name:STAY THE COURSE VETERAN SERVICES
Other - Org Name:STAY THE COURSE
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEMPA
Authorized Official - Middle Name:LORI
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:682-990-6242
Mailing Address - Street 1:2501 PARKVIEW DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-5824
Mailing Address - Country:US
Mailing Address - Phone:682-990-6242
Mailing Address - Fax:817-332-5780
Practice Address - Street 1:2501 PARKVIEW DR
Practice Address - Street 2:SUITE 250
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-5824
Practice Address - Country:US
Practice Address - Phone:682-990-6242
Practice Address - Fax:817-332-5780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-14
Last Update Date:2016-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70243251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health