Provider Demographics
NPI:1922374347
Name:WINDSTAR COUNSELING & CONSULTING SERVICES PLLC
Entity Type:Organization
Organization Name:WINDSTAR COUNSELING & CONSULTING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEQUEANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-875-6693
Mailing Address - Street 1:PO BOX 175195
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-5195
Mailing Address - Country:US
Mailing Address - Phone:817-875-6693
Mailing Address - Fax:817-446-0826
Practice Address - Street 1:5300 W ARKANSAS LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-1272
Practice Address - Country:US
Practice Address - Phone:817-875-6693
Practice Address - Fax:817-446-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health