Provider Demographics
NPI:1629156682
Name:KAREN SUZANNE HALES
Entity Type:Organization
Organization Name:KAREN SUZANNE HALES
Other - Org Name:COUNSELING AND CONSULTING ASSOCIATES OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE MANAGER
Authorized Official - Phone:972-542-8144
Mailing Address - Street 1:2750 W. VIRGINIA PARKWAY
Mailing Address - Street 2:STE 108
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:972-542-8144
Mailing Address - Fax:972-548-9891
Practice Address - Street 1:2750 W. VIRGINIA PKWY
Practice Address - Street 2:STE 108
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:972-542-8144
Practice Address - Fax:972-548-9891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
289748OtherVALUE OPTIONS
TX0060GDOtherBLUE CROSS BLUE SHIELD