Provider Demographics
NPI:1245729672
Name:EMERGING BUTTERFLY COUNSELING, PLLC
Entity type:Organization
Organization Name:EMERGING BUTTERFLY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AZURE
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:HARGIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:469-451-8828
Mailing Address - Street 1:3800 GENNAKER DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1451
Mailing Address - Country:US
Mailing Address - Phone:469-451-8828
Mailing Address - Fax:
Practice Address - Street 1:405 HWY 121 BYP STE A250
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4183
Practice Address - Country:US
Practice Address - Phone:469-324-9835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty