Provider Demographics
NPI:1194316265
Name:MENDED SOUL COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:MENDED SOUL COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRELA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:469-536-2849
Mailing Address - Street 1:2601 LITTLE ELM PKWY STE 1704
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2503
Mailing Address - Country:US
Mailing Address - Phone:972-565-6363
Mailing Address - Fax:682-292-1350
Practice Address - Street 1:2601 LITTLE ELM PKWY STE 1704
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-2503
Practice Address - Country:US
Practice Address - Phone:972-565-6363
Practice Address - Fax:682-292-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty