Provider Demographics
NPI:1184007171
Name:SPIRITUAL AND BEHAVIORAL HEALTH CONSULTANTS, LLC
Entity Type:Organization
Organization Name:SPIRITUAL AND BEHAVIORAL HEALTH CONSULTANTS, LLC
Other - Org Name:SABH CONSULTANTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-607-3868
Mailing Address - Street 1:6777 CAMP BOWIE BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-7150
Mailing Address - Country:US
Mailing Address - Phone:817-607-3868
Mailing Address - Fax:855-541-0383
Practice Address - Street 1:6777 CAMP BOWIE BLVD STE 308
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-7150
Practice Address - Country:US
Practice Address - Phone:817-607-3868
Practice Address - Fax:855-541-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36150103TC0700X
103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty