Provider Demographics
NPI:1275501975
Name:GATEWAYS COUNSELING, P.C.
Entity Type:Organization
Organization Name:GATEWAYS COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRET
Authorized Official - Middle Name:CLAUDE
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:I
Authorized Official - Credentials:EDD
Authorized Official - Phone:806-793-6160
Mailing Address - Street 1:2232 INDIANA AVE
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2139
Mailing Address - Country:US
Mailing Address - Phone:806-793-6160
Mailing Address - Fax:806-799-0825
Practice Address - Street 1:2232 INDIANA AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2139
Practice Address - Country:US
Practice Address - Phone:806-793-6160
Practice Address - Fax:806-799-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11526101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty