Provider Demographics
NPI:1376283523
Name:NAVY AND DOT CHILD AND FAMILY COUNSELING
Entity Type:Organization
Organization Name:NAVY AND DOT CHILD AND FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEAGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, RPT
Authorized Official - Phone:214-530-9034
Mailing Address - Street 1:2520 N CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3008
Mailing Address - Country:US
Mailing Address - Phone:214-530-9034
Mailing Address - Fax:
Practice Address - Street 1:2520 N CARROLL AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3008
Practice Address - Country:US
Practice Address - Phone:214-530-9034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health