Provider Demographics
NPI:1225475049
Name:SIMPLICITY COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:SIMPLICITY COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMNISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:682-323-2889
Mailing Address - Street 1:3630 W PIONEER PKWY
Mailing Address - Street 2:SUITE 113
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-4527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3630 W PIONEER PKWY
Practice Address - Street 2:SUITE 113
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-4527
Practice Address - Country:US
Practice Address - Phone:682-323-2889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66531101YP2500X
TX65858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty