Organization
BEHAVIORAL EMOTIONAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA H WHITAKER LPC (CHIEF EXECUTIVE OFFICER)
(903) 986-9114
Entity
Organization
Contact information
Practice address
1100 STONE ROAD, SUITE 102, KILGORE, TX 75662-5494
(903) 986-9114
(903) 988-0243
Mailing address
1100 STONE ROAD, SUITE 102, KILGORE, TX 75662-5494
(903) 986-9114
(903) 988-0243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097DZ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/16/2006
Last updated
08/22/2020
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