Provider Demographics
NPI:1336500693
Name:PERSPECTIVE COUNSELING AND FAMILY SERVICES
Entity Type:Organization
Organization Name:PERSPECTIVE COUNSELING AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JA'MAI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRIS-EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-602-4724
Mailing Address - Street 1:1131 FRISCO DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76131-4933
Mailing Address - Country:US
Mailing Address - Phone:817-602-4724
Mailing Address - Fax:
Practice Address - Street 1:1304 W ABRAM ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1711
Practice Address - Country:US
Practice Address - Phone:817-876-8243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69336251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health