Provider Demographics
NPI:1942561865
Name:BISS-ANN COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:BISS-ANN COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BISER
Authorized Official - Middle Name:BORISOV
Authorized Official - Last Name:RANGELOV
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:817-372-1107
Mailing Address - Street 1:3001 W 5TH ST STE 400
Mailing Address - Street 2:P.O. BOX 10
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-8907
Mailing Address - Country:US
Mailing Address - Phone:817-372-1107
Mailing Address - Fax:
Practice Address - Street 1:3001 W 5TH ST STE 400
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-8907
Practice Address - Country:US
Practice Address - Phone:817-372-1107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty