Provider Demographics
NPI:1659987071
Name:COMMITTED 2 ME COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:COMMITTED 2 ME COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:STENET
Authorized Official - Middle Name:PALMER
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-497-6645
Mailing Address - Street 1:PO BOX 994
Mailing Address - Street 2:
Mailing Address - City:HAWKINS
Mailing Address - State:TX
Mailing Address - Zip Code:75765-0994
Mailing Address - Country:US
Mailing Address - Phone:903-279-9266
Mailing Address - Fax:800-920-1836
Practice Address - Street 1:105 E. BLACKBOURN
Practice Address - Street 2:
Practice Address - City:HAWKINS
Practice Address - State:TX
Practice Address - Zip Code:75765
Practice Address - Country:US
Practice Address - Phone:903-279-9266
Practice Address - Fax:800-920-1836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health