Provider Demographics
NPI:1376171397
Name:FAITH STEPS COUNSELING PLLC
Entity Type:Organization
Organization Name:FAITH STEPS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCS- RPT-S, NCC
Authorized Official - Phone:432-853-3645
Mailing Address - Street 1:835 TOWER DR STE 9
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4251
Mailing Address - Country:US
Mailing Address - Phone:432-853-3645
Mailing Address - Fax:
Practice Address - Street 1:835 TOWER DR STE 9
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4251
Practice Address - Country:US
Practice Address - Phone:432-853-3645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty