# GREATER DALLAS SUPPORT ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREATER DALLAS SUPPORT ALLIANCE
- **Other names:** Annie's Counseling
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720608540
- **Legal business name:** GREATER DALLAS SUPPORT ALLIANCE
- **Authorized official:** JENNIFER LEE BOATRIGHT LPC (PRESIDENT)
- **Authorized official phone:** (469) 249-2585

## Contact information

- **Practice address:** 2102 DORSEY DR, FORNEY, TX 75126-0925
- **Practice address phone:** (469) 249-3585
- **Practice address fax:** (469) 249-3585
- **Mailing address:** PO BOX 1350, FORNEY, TX 75126-1350
- **Mailing address phone:** (972) 521-6105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 09/30/2020