Provider Demographics
NPI:1093317802
Name:SALYER COUNSELING GROUP, PLLC
Entity Type:Organization
Organization Name:SALYER COUNSELING GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:SHAW SALYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:682-587-7747
Mailing Address - Street 1:PO BOX 171864
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-1864
Mailing Address - Country:US
Mailing Address - Phone:806-543-9287
Mailing Address - Fax:
Practice Address - Street 1:3611 W PIONEER PKWY STE H
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-4516
Practice Address - Country:US
Practice Address - Phone:682-587-7747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty