Provider Demographics
NPI:1699307405
Name:HEAVENLY COUNSELING PLLC
Entity type:Organization
Organization Name:HEAVENLY COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-436-2272
Mailing Address - Street 1:3861 LONG PRAIRIE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1799
Mailing Address - Country:US
Mailing Address - Phone:214-436-2272
Mailing Address - Fax:469-464-9924
Practice Address - Street 1:2201 SPINKS RD STE 118
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4451
Practice Address - Country:US
Practice Address - Phone:214-436-2272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74513OtherLPC LICENSE