Provider Demographics
NPI:1417789256
Name:EXCEEDINGLY ABUNDANTLY ABOVE COUNSELING PLLC
Entity type:Organization
Organization Name:EXCEEDINGLY ABUNDANTLY ABOVE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:GEUNIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FUNCHES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-218-9819
Mailing Address - Street 1:PO BOX 1344
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-0024
Mailing Address - Country:US
Mailing Address - Phone:469-887-6465
Mailing Address - Fax:
Practice Address - Street 1:425 PINSON RD STE M
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-9774
Practice Address - Country:US
Practice Address - Phone:469-887-6465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)