Provider Demographics
NPI:1396902524
Name:INSIDE-OUT COUNSELING & CONSULTATION SERVICES, INC.
Entity type:Organization
Organization Name:INSIDE-OUT COUNSELING & CONSULTATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-233-6939
Mailing Address - Street 1:PO BOX 173684
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-3684
Mailing Address - Country:US
Mailing Address - Phone:817-233-6939
Mailing Address - Fax:
Practice Address - Street 1:2912 LITTLE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-1725
Practice Address - Country:US
Practice Address - Phone:817-233-6939
Practice Address - Fax:817-361-7521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17947251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health