Provider Demographics
NPI:1598978215
Name:COUNSELING AND HYPNOSIS INSTITUTE, INC
Entity Type:Organization
Organization Name:COUNSELING AND HYPNOSIS INSTITUTE, INC
Other - Org Name:BURLESON FAMILY COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUMAN
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MSW, PHD, LPC
Authorized Official - Phone:817-447-0088
Mailing Address - Street 1:225 SE ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-5337
Mailing Address - Country:US
Mailing Address - Phone:817-447-0088
Mailing Address - Fax:817-295-2517
Practice Address - Street 1:113 N SCOTT ST
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-3924
Practice Address - Country:US
Practice Address - Phone:817-447-0088
Practice Address - Fax:817-295-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6603251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126297OtherVALUE OPTIONS
TX7661109OtherINSURANCE
TX2002693OtherINSURANCE
TX272109OtherINSURANCE
TX82112LOtherBCBS