Provider Demographics
NPI:1326780438
Name:360 COUNSELING & WELLNESS, PLLC
Entity Type:Organization
Organization Name:360 COUNSELING & WELLNESS, PLLC
Other - Org Name:360 COUNSELING AND WELLNESS, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:EVENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:847-708-5370
Mailing Address - Street 1:1313 BRADBURY DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-6060
Mailing Address - Country:US
Mailing Address - Phone:847-708-5370
Mailing Address - Fax:214-736-1190
Practice Address - Street 1:207 S TYLER ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4934
Practice Address - Country:US
Practice Address - Phone:847-708-5370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty