Provider Demographics
NPI:1164075834
Name:VALLEY TO SUMMIT COUNSELING PLLC
Entity Type:Organization
Organization Name:VALLEY TO SUMMIT COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-894-1170
Mailing Address - Street 1:134 PR 3576
Mailing Address - Street 2:
Mailing Address - City:BOYD
Mailing Address - State:TX
Mailing Address - Zip Code:76023
Mailing Address - Country:US
Mailing Address - Phone:817-894-1170
Mailing Address - Fax:
Practice Address - Street 1:800 US HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:RHOME
Practice Address - State:TX
Practice Address - Zip Code:76078-4323
Practice Address - Country:US
Practice Address - Phone:817-894-1170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health