Provider Demographics
NPI:1740948454
Name:PRESENT MIND COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:PRESENT MIND COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-802-2823
Mailing Address - Street 1:4917 THISTLE DR APT 604
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-2947
Mailing Address - Country:US
Mailing Address - Phone:903-802-2823
Mailing Address - Fax:
Practice Address - Street 1:4917 THISTLE DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2933
Practice Address - Country:US
Practice Address - Phone:903-802-2823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health