Provider Demographics
NPI:1700442233
Name:REIGN COUNSELING AND CONSULTING,LLC
Entity Type:Organization
Organization Name:REIGN COUNSELING AND CONSULTING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MESIKANO TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC, MAC
Authorized Official - Phone:469-540-3182
Mailing Address - Street 1:3010 LBJ FWY
Mailing Address - Street 2:STE 1200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234
Mailing Address - Country:US
Mailing Address - Phone:469-540-3182
Mailing Address - Fax:972-637-7171
Practice Address - Street 1:3010 LBJ FWY
Practice Address - Street 2:STE 1200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234
Practice Address - Country:US
Practice Address - Phone:469-540-3182
Practice Address - Fax:972-637-7171
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHERYL R MESIKANO TYLER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty