Provider Demographics
NPI:1568934339
Name:ART OF HEALING COUNSELING CENTER PLLC
Entity Type:Organization
Organization Name:ART OF HEALING COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:ASATIANI
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LCDC
Authorized Official - Phone:281-414-2582
Mailing Address - Street 1:606 W DOBBS ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1537
Mailing Address - Country:US
Mailing Address - Phone:281-414-2582
Mailing Address - Fax:
Practice Address - Street 1:1810 SHILOH RD STE 601
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2457
Practice Address - Country:US
Practice Address - Phone:281-414-2582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1407201007OtherPERSONAL NPI