Provider Demographics
NPI:1639709892
Name:STUDIO 4-1-1 COUNSELING & CONSULTING, PLLC
Entity type:Organization
Organization Name:STUDIO 4-1-1 COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LETESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:832-294-1418
Mailing Address - Street 1:2003 E LAMAR BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7316
Mailing Address - Country:US
Mailing Address - Phone:682-320-8077
Mailing Address - Fax:
Practice Address - Street 1:2003 E LAMAR BLVD STE 225
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7316
Practice Address - Country:US
Practice Address - Phone:682-320-8077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty