Provider Demographics
NPI:1073056024
Name:TEXAS PREMIER COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:TEXAS PREMIER COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LSOTP
Authorized Official - Phone:972-895-2502
Mailing Address - Street 1:190 EAST STACY RD STE 306 #325
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8738
Mailing Address - Country:US
Mailing Address - Phone:972-895-2502
Mailing Address - Fax:
Practice Address - Street 1:9741 PRESTON RD STE 105
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-2553
Practice Address - Country:US
Practice Address - Phone:972-895-2502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68834251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health