Provider Demographics
NPI:1396813085
Name:PROFESSIONAL COUNSELING SERVICE
Entity type:Organization
Organization Name:PROFESSIONAL COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:254-526-7272
Mailing Address - Street 1:1711 E CENTRAL TEXAS EXPY
Mailing Address - Street 2:STE. 103
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-9166
Mailing Address - Country:US
Mailing Address - Phone:254-526-7272
Mailing Address - Fax:254-526-3949
Practice Address - Street 1:1711 E CENTRAL TEXAS EXPY
Practice Address - Street 2:STE. 103
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-9166
Practice Address - Country:US
Practice Address - Phone:254-526-7272
Practice Address - Fax:254-526-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty