Provider Demographics
NPI:1639603020
Name:D & K COUNSELING GROUP, PLLC
Entity Type:Organization
Organization Name:D & K COUNSELING GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-721-9939
Mailing Address - Street 1:2450 LOUISIANA ST STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-2318
Mailing Address - Country:US
Mailing Address - Phone:281-721-9939
Mailing Address - Fax:866-306-2987
Practice Address - Street 1:1401 RICHMOND AVE STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5482
Practice Address - Country:US
Practice Address - Phone:281-721-9939
Practice Address - Fax:866-306-2987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65638101YP2500X
TX74613101YP2500X
OK5110101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX354902401Medicaid
TX327596802Medicaid