Provider Demographics
NPI:1386125128
Name:DITCH THE LIE COUNSELING
Entity type:Organization
Organization Name:DITCH THE LIE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV,LPC-S
Authorized Official - Phone:817-996-8517
Mailing Address - Street 1:9200 CHRISTOPHER CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-5157
Mailing Address - Country:US
Mailing Address - Phone:817-996-8517
Mailing Address - Fax:
Practice Address - Street 1:4818 BERKMAN DR APT 4121
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-1260
Practice Address - Country:US
Practice Address - Phone:817-996-8517
Practice Address - Fax:844-354-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health