Provider Demographics
NPI:1134767890
Name:REVEAL AND RESTORE COUNSELING, PLLC
Entity type:Organization
Organization Name:REVEAL AND RESTORE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRINETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-892-8335
Mailing Address - Street 1:9804 THOMAS JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-8421
Mailing Address - Country:US
Mailing Address - Phone:214-892-8335
Mailing Address - Fax:
Practice Address - Street 1:3900 S STONEBRIDGE DR STE 1603
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8104
Practice Address - Country:US
Practice Address - Phone:214-892-8335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)