Organization
FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIDRAH COWGILL LPC-S, NCC (CEO/ CLINICAL DIRECTOR)
(214) 475-0345
Entity
Organization
Contact information
Practice address
2770 MAIN ST, STE. 280, FRISCO, TX 75033-4302
(214) 475-0345
(214) 935-3302
Mailing address
2770 MAIN ST, STE. 280, FRISCO, TX 75033-4302
(214) 475-0345
(214) 935-3302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64254
TX
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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