Provider Demographics
NPI:1477177673
Name:EGO INTEGRITY COUNSELING & WELLNESS LLC
Entity Type:Organization
Organization Name:EGO INTEGRITY COUNSELING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-263-7091
Mailing Address - Street 1:400 S ALAMO BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-4260
Mailing Address - Country:US
Mailing Address - Phone:903-658-8090
Mailing Address - Fax:
Practice Address - Street 1:400 S ALAMO BLVD STE E
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-4260
Practice Address - Country:US
Practice Address - Phone:903-658-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health