# PREMIERE COUNSELING AND RECOVERY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417322157
- **Authorized official:** MR. LAMONT CORNELIUS MARTIN LCDC (DIRECTOR)
- **Authorized official phone:** (214) 274-6455

## Contact information

- **Practice address:** 1341 W MOCKINGBIRD LN, SUITE 600, WEST TOWER, DALLAS, TX 75247-6913
- **Practice address phone:** (214) 274-6455
- **Mailing address:** PO BOX 190841, DALLAS, TX 75219-0841
- **Mailing address phone:** (214) 274-6455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 12476 | TX | Yes |

## Other

- **Enumeration date:** 12/07/2015
- **Last updated:** 12/07/2015