Provider Demographics
NPI:1518225234
Name:FREE FROM BAGGAGE COUNSELING SER VICES LLC
Entity Type:Organization
Organization Name:FREE FROM BAGGAGE COUNSELING SER VICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUMCZIKAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:214-882-7601
Mailing Address - Street 1:2510 BRITTANY DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1888
Mailing Address - Country:US
Mailing Address - Phone:214-882-7601
Mailing Address - Fax:214-227-4682
Practice Address - Street 1:2510 BRITTANY DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-1888
Practice Address - Country:US
Practice Address - Phone:214-882-7601
Practice Address - Fax:214-227-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14575510791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty