Provider Demographics
NPI:1396540712
Name:ADULT COUNSELING AND RESOURCES, PLLC
Entity type:Organization
Organization Name:ADULT COUNSELING AND RESOURCES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:LAVON
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-539-1917
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:MURCHISON
Mailing Address - State:TX
Mailing Address - Zip Code:75778-0158
Mailing Address - Country:US
Mailing Address - Phone:903-539-1917
Mailing Address - Fax:903-470-7373
Practice Address - Street 1:10697 COUNTY ROAD 159
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3327
Practice Address - Country:US
Practice Address - Phone:903-330-9592
Practice Address - Fax:903-470-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty