Provider Demographics
NPI:1316218654
Name:KEVIN D JONES PLLC
Entity Type:Organization
Organization Name:KEVIN D JONES PLLC
Other - Org Name:RESTORATION COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, LMFT
Authorized Official - Phone:972-436-3118
Mailing Address - Street 1:571 S EDMONDS LN STE 102
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3645
Mailing Address - Country:US
Mailing Address - Phone:972-436-3118
Mailing Address - Fax:972-353-4259
Practice Address - Street 1:571 S EDMONDS LN STE 102
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3645
Practice Address - Country:US
Practice Address - Phone:972-436-3118
Practice Address - Fax:972-353-4259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14281101YP2500X
TX4894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty