Provider Demographics
NPI:1699765537
Name:PARK TEN COUNSELING, INC.
Entity type:Organization
Organization Name:PARK TEN COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:LEO
Authorized Official - Last Name:SIMCIK
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:281-578-5838
Mailing Address - Street 1:414 GOVERNORS PLACE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1442
Mailing Address - Country:US
Mailing Address - Phone:281-578-5838
Mailing Address - Fax:
Practice Address - Street 1:16350 PARK TEN PL
Practice Address - Street 2:SUITE 100-22
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5146
Practice Address - Country:US
Practice Address - Phone:281-578-5838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1652101YA0400X
TX9588101YM0800X
TX002983-041991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty