Provider Demographics
NPI:1942890140
Name:SIDE BY SIDE COUNSELING
Entity Type:Organization
Organization Name:SIDE BY SIDE COUNSELING
Other - Org Name:COUNSELORS OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-388-4660
Mailing Address - Street 1:301 HESTERS CROSSING RD STE 202
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-6914
Mailing Address - Country:US
Mailing Address - Phone:512-388-4660
Mailing Address - Fax:
Practice Address - Street 1:711 W 38TH ST STE C2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1126
Practice Address - Country:US
Practice Address - Phone:512-388-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:W. SCHAFFER & ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty