Provider Demographics
NPI:1912311267
Name:COUNSELING, CONSULTING, & INSPIRATION ASSOCIATES LLC
Entity type:Organization
Organization Name:COUNSELING, CONSULTING, & INSPIRATION ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:KINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, LPC
Authorized Official - Phone:214-499-8181
Mailing Address - Street 1:3500 OAK LAWN AVE
Mailing Address - Street 2:STE 620
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4462
Mailing Address - Country:US
Mailing Address - Phone:214-499-8181
Mailing Address - Fax:214-559-2797
Practice Address - Street 1:3500 OAK LAWN AVE
Practice Address - Street 2:STE 620
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4462
Practice Address - Country:US
Practice Address - Phone:214-499-8181
Practice Address - Fax:214-559-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-15
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70643101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty