Healthcare Provider Details
I. General information
NPI: 1023611969
Provider Name (Legal Business Name): 246 COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 S BOIS D'ARC ST
FORNEY TX
75126-3501
US
IV. Provider business mailing address
1284 ALTUDA DR
FORNEY TX
75126-3489
US
V. Phone/Fax
- Phone: 972-439-5297
- Fax:
- Phone: 972-292-8513
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
JENNIFER
KAY
SMITH
Title or Position: OWNER
Credential: LPC-S
Phone: 469-855-8411