Provider Demographics
NPI:1700959798
Name:BEHAVIORAL EMOTIONAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:BEHAVIORAL EMOTIONAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-986-9114
Mailing Address - Street 1:1100 STONE ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-5494
Mailing Address - Country:US
Mailing Address - Phone:903-986-9114
Mailing Address - Fax:903-988-0243
Practice Address - Street 1:1100 STONE ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-5494
Practice Address - Country:US
Practice Address - Phone:903-986-9114
Practice Address - Fax:903-988-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0097DZOtherBLUE CROSS BLUE SHIELD
TX0097DZOtherBLUE CROSS BLUE SHIELD