Provider Demographics
NPI:1639714504
Name:WALKING WITH WISDOM, PLLC
Entity Type:Organization
Organization Name:WALKING WITH WISDOM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:FURLONG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:214-564-4149
Mailing Address - Street 1:9465 SHERWOOD GLN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-4129
Mailing Address - Country:US
Mailing Address - Phone:214-564-4149
Mailing Address - Fax:
Practice Address - Street 1:3500 OAK LAWN AVE STE 720
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4370
Practice Address - Country:US
Practice Address - Phone:469-288-2884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)