Provider Demographics
NPI:1710167705
Name:DAYSPRING CENTER OF THE METROPLEX FOR COUNSELING & DEVELOPMENT
Entity Type:Organization
Organization Name:DAYSPRING CENTER OF THE METROPLEX FOR COUNSELING & DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-258-0022
Mailing Address - Street 1:1705 ESTERS RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-8042
Mailing Address - Country:US
Mailing Address - Phone:972-258-0022
Mailing Address - Fax:972-258-7866
Practice Address - Street 1:1705 ESTERS RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-8042
Practice Address - Country:US
Practice Address - Phone:972-258-0022
Practice Address - Fax:972-258-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty