Provider Demographics
NPI:1962053405
Name:LIONHEART COUNSELING LLC
Entity type:Organization
Organization Name:LIONHEART COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-720-8452
Mailing Address - Street 1:4332 WILLOW BEND CT
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-5405
Mailing Address - Country:US
Mailing Address - Phone:409-720-8452
Mailing Address - Fax:
Practice Address - Street 1:4332 WILLOW BEND CT
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-5405
Practice Address - Country:US
Practice Address - Phone:409-720-8452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty