Provider Demographics
NPI:1417608183
Name:VIRTUALLY SPEAKING: COUNSELING AND CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:VIRTUALLY SPEAKING: COUNSELING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-530-2335
Mailing Address - Street 1:1525 TWIN PINES DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7832
Mailing Address - Country:US
Mailing Address - Phone:214-727-6543
Mailing Address - Fax:
Practice Address - Street 1:420 HAWKINS RUN RD STE 1
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6655
Practice Address - Country:US
Practice Address - Phone:214-530-2335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124141643OtherMENTAL HEALTH