Provider Demographics
NPI:1366853574
Name:SYNERGY COUNSELING & CONSULTING,LLC
Entity Type:Organization
Organization Name:SYNERGY COUNSELING & CONSULTING,LLC
Other - Org Name:OASIS COUNSELING & CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-517-5025
Mailing Address - Street 1:250 COUNTY ROAD 12500
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-2400
Mailing Address - Country:US
Mailing Address - Phone:903-517-5025
Mailing Address - Fax:903-782-9902
Practice Address - Street 1:2630 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4847
Practice Address - Country:US
Practice Address - Phone:903-517-5025
Practice Address - Fax:903-782-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX356631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty