Provider Demographics
NPI:1346048758
Name:GIFTED MINDS COUNSELING PLLC
Entity type:Organization
Organization Name:GIFTED MINDS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPC
Authorized Official - Prefix:
Authorized Official - First Name:JADE
Authorized Official - Middle Name:
Authorized Official - Last Name:SKIDMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-857-3758
Mailing Address - Street 1:121 W HICKORY ST STE 122
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4190
Mailing Address - Country:US
Mailing Address - Phone:469-860-6800
Mailing Address - Fax:
Practice Address - Street 1:121 W HICKORY ST STE 122
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4190
Practice Address - Country:US
Practice Address - Phone:469-860-6800
Practice Address - Fax:469-860-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)