Provider Demographics
NPI:1770912073
Name:JENNINGS COUNSELING SERVICES
Entity type:Organization
Organization Name:JENNINGS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:806-356-9047
Mailing Address - Street 1:7470 GOLDEN POND PL
Mailing Address - Street 2:STE 300
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1997
Mailing Address - Country:US
Mailing Address - Phone:806-356-9047
Mailing Address - Fax:806-356-9046
Practice Address - Street 1:7470 GOLDEN POND PL
Practice Address - Street 2:STE 300
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1997
Practice Address - Country:US
Practice Address - Phone:806-356-9047
Practice Address - Fax:806-356-9046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty