Provider Demographics
NPI:1770399529
Name:NURTURING CONNECTIONS COUNSELING, PLLC
Entity type:Organization
Organization Name:NURTURING CONNECTIONS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TELAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRBIE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:254-224-7205
Mailing Address - Street 1:PO BOX 7003
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76714-7003
Mailing Address - Country:US
Mailing Address - Phone:254-355-4842
Mailing Address - Fax:
Practice Address - Street 1:2121 W WACO DR STE E
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76707-3480
Practice Address - Country:US
Practice Address - Phone:254-355-4842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)