Provider Demographics
NPI:1851867584
Name:UNDERWOOD COUNSELING & CONSULTATION PLLC
Entity Type:Organization
Organization Name:UNDERWOOD COUNSELING & CONSULTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-712-9134
Mailing Address - Street 1:8109 WHIPPOORWILL DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-5774
Mailing Address - Country:US
Mailing Address - Phone:469-712-9134
Mailing Address - Fax:469-375-2485
Practice Address - Street 1:6675 MEDITERRANEAN DR STE 504
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5623
Practice Address - Country:US
Practice Address - Phone:469-712-9134
Practice Address - Fax:469-375-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-20
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty