Provider Demographics
NPI:1679021356
Name:PECAN BRANCH COUNSELING, PLLC
Entity Type:Organization
Organization Name:PECAN BRANCH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DOYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CYNTHIA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:940-565-8300
Mailing Address - Street 1:1010 N ELM ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6905
Mailing Address - Country:US
Mailing Address - Phone:940-565-8300
Mailing Address - Fax:940-565-8305
Practice Address - Street 1:1010 N ELM ST
Practice Address - Street 2:SUITE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6905
Practice Address - Country:US
Practice Address - Phone:940-565-8300
Practice Address - Fax:940-565-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty