Provider Demographics
NPI:1356092035
Name:PAIK COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:PAIK COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONG
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAIK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:972-246-8198
Mailing Address - Street 1:8304 TAVAROS DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7230
Mailing Address - Country:US
Mailing Address - Phone:972-246-8198
Mailing Address - Fax:
Practice Address - Street 1:8304 TAVAROS DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7230
Practice Address - Country:US
Practice Address - Phone:678-665-1893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty