Provider Demographics
NPI:1568647980
Name:BEHAVIORAL AND COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:BEHAVIORAL AND COUNSELING SERVICES, PLLC
Other - Org Name:SUSAN GOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:936-827-9544
Mailing Address - Street 1:1092 ELKINS LK
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-8831
Mailing Address - Country:US
Mailing Address - Phone:936-443-4671
Mailing Address - Fax:936-788-1010
Practice Address - Street 1:1110 N LOOP 336 W STE 250
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1194
Practice Address - Country:US
Practice Address - Phone:936-827-9544
Practice Address - Fax:936-788-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18730101YP2500X
TX28964104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty