Provider Demographics
NPI:1497565675
Name:PEARL COUNSELING OF TEXAS, PLLC
Entity type:Organization
Organization Name:PEARL COUNSELING OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:254-218-4478
Mailing Address - Street 1:7710 CENTRAL PARK DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6518
Mailing Address - Country:US
Mailing Address - Phone:254-218-4478
Mailing Address - Fax:
Practice Address - Street 1:7710 CENTRAL PARK DR STE 2
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6518
Practice Address - Country:US
Practice Address - Phone:254-203-9227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty