Provider Demographics
NPI:1811638885
Name:JOURNEY COUNSELING TEXAS, LLC
Entity type:Organization
Organization Name:JOURNEY COUNSELING TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HAGINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:430-562-3417
Mailing Address - Street 1:203 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:QUEEN CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75572-2221
Mailing Address - Country:US
Mailing Address - Phone:430-562-3417
Mailing Address - Fax:
Practice Address - Street 1:203 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:QUEEN CITY
Practice Address - State:TX
Practice Address - Zip Code:75572-2221
Practice Address - Country:US
Practice Address - Phone:430-562-3417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)