Provider Demographics
NPI:1497519862
Name:MCKINLEY COUNSELING FIRM
Entity Type:Organization
Organization Name:MCKINLEY COUNSELING FIRM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:RENEE WASHINGTON
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-966-5152
Mailing Address - Street 1:2824 MCCORMICK DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-1999
Mailing Address - Country:US
Mailing Address - Phone:214-966-5152
Mailing Address - Fax:
Practice Address - Street 1:2591 N HIGHWAY 77 STE 107
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-6132
Practice Address - Country:US
Practice Address - Phone:214-966-5152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)