Healthcare Provider Details

I. General information

NPI: 1346741329
Provider Name (Legal Business Name): ALLIANCE COUNSELING AND THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6371 PRESTON RD STE 120
FRISCO TX
75034
US

IV. Provider business mailing address

6371 PRESTON RD STE 120
FRISCO TX
75034-7979
US

V. Phone/Fax

Practice location:
  • Phone: 214-799-0517
  • Fax: 214-594-8458
Mailing address:
  • Phone: 214-799-0517
  • Fax: 214-594-8458

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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KERRI WATTS
Title or Position: OWNER
Credential: LPC
Phone: 214-799-0517