Provider Demographics
NPI:1700639606
Name:TWELFTH HOUSE COUNSELING
Entity Type:Organization
Organization Name:TWELFTH HOUSE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAZALDE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-322-6136
Mailing Address - Street 1:12825 PARK HILL CT
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75180-4821
Mailing Address - Country:US
Mailing Address - Phone:972-322-6136
Mailing Address - Fax:
Practice Address - Street 1:729 N BISHOP AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4340
Practice Address - Country:US
Practice Address - Phone:214-216-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty