Provider Demographics
NPI:1316180961
Name:ENLIGHTENMENT COUNSELING SERVICES
Entity type:Organization
Organization Name:ENLIGHTENMENT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:CYRIL
Authorized Official - Last Name:ODIACHI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-732-9904
Mailing Address - Street 1:14802 ENTERPRISE DR
Mailing Address - Street 2:46A
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2455
Mailing Address - Country:US
Mailing Address - Phone:214-732-9904
Mailing Address - Fax:
Practice Address - Street 1:14802 ENTERPRISE DR
Practice Address - Street 2:46A
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2455
Practice Address - Country:US
Practice Address - Phone:214-732-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health