Organization
MID CITIES COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMILA S. CHANCELLOR LCSW (CEO)
(817) 888-8131
Entity
Organization
Contact information
Practice address
805 FM 1187 E STE B, CROWLEY, TX 76036-4300
(817) 888-8131
(817) 928-1666
Mailing address
PO BOX 242, COLLEYVILLE, TX 76034-0242
(817) 888-8131
(817) 928-1666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/13/2014
Last updated
02/28/2024
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