Provider Demographics
NPI:1891193405
Name:ADVANCE COUNSELING CENTRE
Entity Type:Organization
Organization Name:ADVANCE COUNSELING CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:214-546-4514
Mailing Address - Street 1:918 TANGLEWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-6838
Mailing Address - Country:US
Mailing Address - Phone:214-546-4514
Mailing Address - Fax:972-254-5060
Practice Address - Street 1:1431 GREENWAY DR
Practice Address - Street 2:SUITE 800
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2448
Practice Address - Country:US
Practice Address - Phone:214-546-4514
Practice Address - Fax:972-254-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12969101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty