Organization
PHOENIX COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELAINE JOHNSON MS, LPC (OWNER)
(469) 290-2353
Entity
Organization
Contact information
Practice address
8700 US HIGHWAY 380 STE 502, CROSSROADS, TX 76227-2661
(469) 290-2353
Mailing address
8700 US HIGHWAY 380 STE 502, CROSSROADS, TX 76227-2661
(469) 290-2353
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194146050
—
TX
Enumeration date
09/07/2021
Last updated
09/27/2021
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