Healthcare Provider Details

I. General information

NPI: 1235054149
Provider Name (Legal Business Name): PRUITT COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 LILY CT
CEDAR HILL TX
75104-1010
US

IV. Provider business mailing address

1107 LILY CT
CEDAR HILL TX
75104-1010
US

V. Phone/Fax

Practice location:
  • Phone: 304-207-7717
  • Fax:
Mailing address:
  • Phone: 304-207-7717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: VERONICA LEKEISHA PRUITT
Title or Position: ADMIN
Credential: PRUITT
Phone: 304-207-7717