Provider Demographics
NPI:1235666959
Name:OPENING NEW DOORS MENTAL WELLNESS COUNSELING
Entity Type:Organization
Organization Name:OPENING NEW DOORS MENTAL WELLNESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CROWDER
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:469-247-8349
Mailing Address - Street 1:1333 W MCDERMOTT DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3090
Mailing Address - Country:US
Mailing Address - Phone:469-247-8349
Mailing Address - Fax:214-383-2826
Practice Address - Street 1:1333 W MCDERMOTT DR
Practice Address - Street 2:SUITE 150
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3090
Practice Address - Country:US
Practice Address - Phone:469-247-8349
Practice Address - Fax:214-383-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57617261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health