Provider Demographics
NPI:1407486939
Name:GISELA LIN COUNSELING AND CONSULTATION SERVICES PLLC
Entity Type:Organization
Organization Name:GISELA LIN COUNSELING AND CONSULTATION SERVICES PLLC
Other - Org Name:GISELA LIN COUNSELING AND CONSULTAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGY OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUN-CHIH
Authorized Official - Middle Name:GISELA
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-575-6285
Mailing Address - Street 1:3904 PUFFIN WAY
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6265
Mailing Address - Country:US
Mailing Address - Phone:979-575-6285
Mailing Address - Fax:
Practice Address - Street 1:1401 SANDIA PLZ
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-4356
Practice Address - Country:US
Practice Address - Phone:979-314-9698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty