Provider Demographics
NPI:1700282951
Name:OPTIMISTIC OUTLOOK COUNSELING & CONSULTING SERVICES P.L.L.C.
Entity Type:Organization
Organization Name:OPTIMISTIC OUTLOOK COUNSELING & CONSULTING SERVICES P.L.L.C.
Other - Org Name:OPTIMISTIC OUTLOOK COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:KAIESHA
Authorized Official - Middle Name:LASHA
Authorized Official - Last Name:FLUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, MS, LPC-S
Authorized Official - Phone:214-403-8934
Mailing Address - Street 1:1510 N HAMPTON RD. STE 210
Mailing Address - Street 2:#1338
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8301
Mailing Address - Country:US
Mailing Address - Phone:214-960-1536
Mailing Address - Fax:800-660-2523
Practice Address - Street 1:1510 N HAMPTON RD. STE 210
Practice Address - Street 2:#1338
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8301
Practice Address - Country:US
Practice Address - Phone:214-960-1536
Practice Address - Fax:800-660-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70148251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health