Provider Demographics
NPI:1124566567
Name:SOTERIA COUNSELING AND FAMILY SERVICES
Entity Type:Organization
Organization Name:SOTERIA COUNSELING AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LMFT
Authorized Official - Phone:817-276-6412
Mailing Address - Street 1:301 S CENTER ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-7139
Mailing Address - Country:US
Mailing Address - Phone:817-276-6412
Mailing Address - Fax:
Practice Address - Street 1:301 S CENTER ST
Practice Address - Street 2:SUITE 500
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-7139
Practice Address - Country:US
Practice Address - Phone:817-276-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty