Healthcare Provider Details

I. General information

NPI: 1134740665
Provider Name (Legal Business Name): MIND & HEART COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5899 PRESTON RD STE 603
FRISCO TX
75034-9591
US

IV. Provider business mailing address

5899 PRESTON RD STE 603
FRISCO TX
75034-9591
US

V. Phone/Fax

Practice location:
  • Phone: 972-850-8528
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTANY LASHUA
Title or Position: OWNER & CLINICAL DIRECT
Credential: PHD
Phone: 972-850-8528