Provider Demographics
NPI:1134801137
Name:EVANS' COUNSELING AND PSYCHO-EDUCATIONAL FIRM, INC
Entity type:Organization
Organization Name:EVANS' COUNSELING AND PSYCHO-EDUCATIONAL FIRM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-556-9416
Mailing Address - Street 1:1156 LITTLE RIVER 11
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822-8985
Mailing Address - Country:US
Mailing Address - Phone:903-556-9416
Mailing Address - Fax:
Practice Address - Street 1:216 OLIVE ST STE 210
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-5932
Practice Address - Country:US
Practice Address - Phone:903-556-9416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty