Provider Demographics
NPI:1861642407
Name:B & B COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:B & B COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:361-944-7078
Mailing Address - Street 1:2050 PARKVIEW PL
Mailing Address - Street 2:
Mailing Address - City:INGLESIDE
Mailing Address - State:TX
Mailing Address - Zip Code:78362-6234
Mailing Address - Country:US
Mailing Address - Phone:361-944-7078
Mailing Address - Fax:361-345-4587
Practice Address - Street 1:2050 PARKVIEW PL
Practice Address - Street 2:
Practice Address - City:INGLESIDE
Practice Address - State:TX
Practice Address - Zip Code:78362-6234
Practice Address - Country:US
Practice Address - Phone:361-944-7078
Practice Address - Fax:361-345-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7544251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7544OtherLCDC