Healthcare Provider Details

I. General information

NPI: 1831778455
Provider Name (Legal Business Name): PARACLETE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HORIZON CT STE 100
ROCKWALL TX
75032-2028
US

IV. Provider business mailing address

PO BOX 1812
ROCKWALL TX
75087-1812
US

V. Phone/Fax

Practice location:
  • Phone: 469-757-4327
  • Fax:
Mailing address:
  • Phone: 469-757-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN COOPER-MURRIEL
Title or Position: PSYCHOTHERAPIST/OWNER
Credential: LMFT,LPC,LCDC
Phone: 469-757-4327