Provider Demographics
NPI:1417364613
Name:LIFESYNERGY COACHING & COUNSELING
Entity Type:Organization
Organization Name:LIFESYNERGY COACHING & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-905-4995
Mailing Address - Street 1:3747 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-9442
Mailing Address - Country:US
Mailing Address - Phone:903-905-4995
Mailing Address - Fax:903-905-4995
Practice Address - Street 1:3747 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9442
Practice Address - Country:US
Practice Address - Phone:903-905-4995
Practice Address - Fax:903-905-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-20
Last Update Date:2014-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35663251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1689017287OtherFOR PRIVATE INSURANCE BILLING ONLY
TX1376950840OtherFOR PRIVATE INSURANCE BILLING ONLY