Provider Demographics
NPI:1790352557
Name:ADVANCED COUNSELING
Entity Type:Organization
Organization Name:ADVANCED COUNSELING
Other - Org Name:ADVANCED COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:CSW, MSW
Authorized Official - Phone:210-504-8179
Mailing Address - Street 1:10228 E NORTHWEST HWY UNIT 345
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4408
Mailing Address - Country:US
Mailing Address - Phone:210-504-8179
Mailing Address - Fax:
Practice Address - Street 1:8631 FAIRHAVEN ST BLD. 96 UNIT 14
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2007
Practice Address - Country:US
Practice Address - Phone:210-504-8179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management