Provider Demographics
NPI:1457990947
Name:PAX CONSULTING AND COUNSELING, PLLC
Entity Type:Organization
Organization Name:PAX CONSULTING AND COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:NIVIN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,LPC, NCC
Authorized Official - Phone:502-438-8711
Mailing Address - Street 1:PO BOX 2202
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-2202
Mailing Address - Country:US
Mailing Address - Phone:502-438-8711
Mailing Address - Fax:
Practice Address - Street 1:1205 THISTLE PARK
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76706-7292
Practice Address - Country:US
Practice Address - Phone:502-438-8711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty