Provider Demographics
NPI:1467741157
Name:ACADEMIC AND BEHAVIOR COACHING, LLC
Entity Type:Organization
Organization Name:ACADEMIC AND BEHAVIOR COACHING, LLC
Other - Org Name:MEYER COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TWILA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:817-228-7761
Mailing Address - Street 1:1117 BEDFORD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6694
Mailing Address - Country:US
Mailing Address - Phone:817-228-7761
Mailing Address - Fax:
Practice Address - Street 1:1117 BEDFORD RD
Practice Address - Street 2:SUITE C
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6694
Practice Address - Country:US
Practice Address - Phone:817-228-7761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-03
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty