Organization
360 COACHING & COUNSELING
Active
Parent organization
DIANA F RYAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIANA F RYAN
Authorized official
DIANA F RYAN LPC (OWNER)
(214) 490-5162
Entity
Organization
Contact information
Practice address
375 MUNICIPAL DR STE 232, RICHARDSON, TX 75080-3624
(214) 490-5162
Mailing address
302 W RED BIRD LN, DUNCANVILLE, TX 75116-2134
(580) 471-3850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12314
TX
101YM0800X
Mental Health Counselor
69073
TX
101YP2500X
Professional Counselor
Primary
69073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3439275-01
—
TX
Enumeration date
09/21/2017
Last updated
06/16/2018
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