Provider Demographics
NPI:1386165041
Name:ASPIRE CENTER FOR COUNSELING & CONSULTING, PLLC.
Entity type:Organization
Organization Name:ASPIRE CENTER FOR COUNSELING & CONSULTING, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BYLSMA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:903-392-2061
Mailing Address - Street 1:1400 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-4111
Mailing Address - Country:US
Mailing Address - Phone:903-392-2061
Mailing Address - Fax:903-392-2061
Practice Address - Street 1:1400 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-4111
Practice Address - Country:US
Practice Address - Phone:903-392-2061
Practice Address - Fax:903-392-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3381451Medicaid