Provider Demographics
NPI:1477310324
Name:BRUCE PROFESSIONAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BRUCE PROFESSIONAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-807-3833
Mailing Address - Street 1:8621 MID CITIES BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-4745
Mailing Address - Country:US
Mailing Address - Phone:682-224-7500
Mailing Address - Fax:817-393-3512
Practice Address - Street 1:8621 MID CITIES BLVD STE 400
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-4745
Practice Address - Country:US
Practice Address - Phone:682-224-7500
Practice Address - Fax:817-393-3512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty