Provider Demographics
NPI:1265975361
Name:CENTERED COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:CENTERED COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAKIMA
Authorized Official - Middle Name:DOLLIOLE
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-766-1154
Mailing Address - Street 1:2111 RIDDLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2111 RIDDLE RD STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1305
Practice Address - Country:US
Practice Address - Phone:512-766-1154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty