Healthcare Provider Details

I. General information

NPI: 1851587711
Provider Name (Legal Business Name): V. JAMES VIOLA & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 W BETHEL RD SUITE 100
COPPELL TX
75019-4473
US

IV. Provider business mailing address

3900 GRAPEVINE MILLS PKWY UNIT #335
GRAPEVINE TX
76051-1989
US

V. Phone/Fax

Practice location:
  • Phone: 214-226-4093
  • Fax:
Mailing address:
  • Phone: 214-226-4093
  • Fax: 972-304-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number00576
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2094
License Number StateTX

VIII. Authorized Official

Name: MRS. NELLIE VIOLA
Title or Position: COUNSELOR & V. PRES. OF ORGANIZATIO
Credential: M.S., L.P.C
Phone: 214-226-4093