Provider Demographics
NPI:1891383345
Name:DISTINCTIVE COUNSELING AND CONSULTING PLLC
Entity type:Organization
Organization Name:DISTINCTIVE COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JINNELLE
Authorized Official - Middle Name:VERONIQUE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:361-945-3084
Mailing Address - Street 1:14729 COUNTY ROAD 1470
Mailing Address - Street 2:
Mailing Address - City:ODEM
Mailing Address - State:TX
Mailing Address - Zip Code:78370-4208
Mailing Address - Country:US
Mailing Address - Phone:361-945-3084
Mailing Address - Fax:
Practice Address - Street 1:4646 CORONA DR STE 216
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4386
Practice Address - Country:US
Practice Address - Phone:361-945-3084
Practice Address - Fax:361-724-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty