Provider Demographics
NPI:1255405833
Name:COPELAND COUNSELING & FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:COPELAND COUNSELING & FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC
Authorized Official - Phone:325-660-0966
Mailing Address - Street 1:2401 S WILLIS ST STE 103
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6248
Mailing Address - Country:US
Mailing Address - Phone:325-660-0966
Mailing Address - Fax:325-695-5200
Practice Address - Street 1:2401 S WILLIS ST STE 103
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6248
Practice Address - Country:US
Practice Address - Phone:325-660-0966
Practice Address - Fax:325-695-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17229101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty