Healthcare Provider Details

I. General information

NPI: 1538063631
Provider Name (Legal Business Name): PERFECT PEACE SUPERVISION, CONSULTING AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 CLARENCE DR STE 250
FRISCO TX
75033-3867
US

IV. Provider business mailing address

10601 CLARENCE DR STE 250
FRISCO TX
75033-3867
US

V. Phone/Fax

Practice location:
  • Phone: 945-213-8042
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: JBRIEL ELIZABETH PORTER
Title or Position: CEO, OWNER
Credential: LPC
Phone: 945-213-8042