Provider Demographics
NPI:1588071864
Name:CARING ABOUT MYSELF COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:CARING ABOUT MYSELF COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-845-4709
Mailing Address - Street 1:99 REGENCY PKWY
Mailing Address - Street 2:STE 309
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7817
Mailing Address - Country:US
Mailing Address - Phone:817-845-4709
Mailing Address - Fax:
Practice Address - Street 1:99 REGENCY PKWY
Practice Address - Street 2:STE 309
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7817
Practice Address - Country:US
Practice Address - Phone:817-845-4709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty