Provider Demographics
NPI:1972260370
Name:THE CONSCIOUS MIND COUNSELING GROUP PLLC
Entity Type:Organization
Organization Name:THE CONSCIOUS MIND COUNSELING GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LENNARD
Authorized Official - Middle Name:DARYL
Authorized Official - Last Name:LATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-530-9377
Mailing Address - Street 1:2306 GUTHRIE RD STE 260K
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5967
Mailing Address - Country:US
Mailing Address - Phone:214-530-9377
Mailing Address - Fax:
Practice Address - Street 1:2306 GUTHRIE RD STE 260K
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5967
Practice Address - Country:US
Practice Address - Phone:214-530-9377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty