Provider Demographics
NPI:1073207163
Name:DEES GRIEF COACHING SERVICES CGC
Entity type:Organization
Organization Name:DEES GRIEF COACHING SERVICES CGC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED GRIEF COACH
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEMETRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-229-8687
Mailing Address - Street 1:PO BOX 7281
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-7281
Mailing Address - Country:US
Mailing Address - Phone:409-229-8687
Mailing Address - Fax:
Practice Address - Street 1:4835 CONCORD RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-1811
Practice Address - Country:US
Practice Address - Phone:409-229-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty