Provider Demographics
NPI:1093306094
Name:PLAN C CONSULTATION AND COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:PLAN C CONSULTATION AND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC-S
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:512-796-3167
Mailing Address - Street 1:1104 S MAYS ST STE 103
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6700
Mailing Address - Country:US
Mailing Address - Phone:512-796-3167
Mailing Address - Fax:512-712-5378
Practice Address - Street 1:1104 S MAYS ST STE 103
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6700
Practice Address - Country:US
Practice Address - Phone:512-796-3167
Practice Address - Fax:512-712-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI319183502Medicaid