Provider Demographics
NPI:1134666357
Name:FOUR NOTCH COUNSELING
Entity Type:Organization
Organization Name:FOUR NOTCH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILEE
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:HERVEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-533-8269
Mailing Address - Street 1:1806 ROWLETT RD
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6017
Mailing Address - Country:US
Mailing Address - Phone:972-533-8269
Mailing Address - Fax:972-458-7024
Practice Address - Street 1:1221 ABRAMS RD
Practice Address - Street 2:325
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5578
Practice Address - Country:US
Practice Address - Phone:972-836-6465
Practice Address - Fax:972-458-7024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67650101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty