Healthcare Provider Details

I. General information

NPI: 1548933377
Provider Name (Legal Business Name): PCS COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 IOLA AVE STE 133
LUBBOCK TX
79424-2729
US

IV. Provider business mailing address

PO BOX 1314
LEVELLAND TX
79336-1314
US

V. Phone/Fax

Practice location:
  • Phone: 806-891-8995
  • Fax:
Mailing address:
  • Phone: 806-891-8995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER STRAFACE
Title or Position: MANAGER
Credential: LPC
Phone: 806-891-8995