Healthcare Provider Details

I. General information

NPI: 1326858481
Provider Name (Legal Business Name): AS YOURSELF COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E UNIVERSITY DR
DENTON TX
76209-2011
US

IV. Provider business mailing address

5473 BLAIR RD STE 100
DALLAS TX
75231-4227
US

V. Phone/Fax

Practice location:
  • Phone: 940-202-9193
  • Fax:
Mailing address:
  • Phone: 940-202-9193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER O OPARAODU
Title or Position: MANAGING MEMBER
Credential: LPC
Phone: 940-202-9193