Provider Demographics
NPI:1811401003
Name:ATHENA COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:ATHENA COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-732-2067
Mailing Address - Street 1:10300 N CENTRAL EXPY STE 286
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2258
Mailing Address - Country:US
Mailing Address - Phone:214-732-2067
Mailing Address - Fax:888-314-0299
Practice Address - Street 1:10300 N CENTRAL EXPY STE 286
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2258
Practice Address - Country:US
Practice Address - Phone:214-732-2067
Practice Address - Fax:888-314-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX595081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty