Provider Demographics
NPI:1780833525
Name:VAIL COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:VAIL COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENNIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAIL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-924-8195
Mailing Address - Street 1:2591 DALLAS PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8542
Mailing Address - Country:US
Mailing Address - Phone:214-924-8195
Mailing Address - Fax:
Practice Address - Street 1:2591 DALLAS PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8542
Practice Address - Country:US
Practice Address - Phone:214-924-8195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty