Provider Demographics
NPI:1467096743
Name:JUNIPER COUNSELING
Entity Type:Organization
Organization Name:JUNIPER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER - STRATEGY
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-422-4185
Mailing Address - Street 1:307 TRAKEHNER TRL
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-4667
Mailing Address - Country:US
Mailing Address - Phone:469-422-4185
Mailing Address - Fax:
Practice Address - Street 1:307 TRAKEHNER TRL
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-4667
Practice Address - Country:US
Practice Address - Phone:469-422-4185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty