Healthcare Provider Details

I. General information

NPI: 1720704117
Provider Name (Legal Business Name): CAULEY COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EAST LAMAR BOULEVARD SUITE 600, PMB 37
ARLINGTON TX
76006-7361
US

IV. Provider business mailing address

2000 EAST LAMAR BOULEVARD SUITE 600, PMB 37
ARLINGTON TX
76006-7361
US

V. Phone/Fax

Practice location:
  • Phone: 682-777-4370
  • Fax:
Mailing address:
  • Phone: 682-777-4370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CARLA D CAULEY
Title or Position: OWNER/CEO
Credential: LPC
Phone: 682-777-4370