Provider Demographics
NPI:1740427384
Name:FM COACHING & COUNSELING LLC
Entity Type:Organization
Organization Name:FM COACHING & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:915-491-5709
Mailing Address - Street 1:7221 CANYON RUN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7213
Mailing Address - Country:US
Mailing Address - Phone:915-491-5709
Mailing Address - Fax:915-585-9990
Practice Address - Street 1:5758 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5427
Practice Address - Country:US
Practice Address - Phone:915-585-9990
Practice Address - Fax:915-585-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX326911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty