=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669888061
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOOLS FOR SUCCESS COACHING, COUNSELING & CONSULTING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2014
-----------------------------------------------------
Last Update Date | 07/07/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3100 10TH ST
-----------------------------------------------------
City | WICHITA FALLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76309
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-716-0230
-----------------------------------------------------
Fax | 940-228-0625
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3100 10TH ST
-----------------------------------------------------
City | WICHITA FALLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76309
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-716-0230
-----------------------------------------------------
Fax | 940-228-0625
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JAMES MCGINN
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 940-716-0230
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 669819
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174H00000X
-----------------------------------------------------
Taxonomy Name | Health Educator
-----------------------------------------------------
License Number | 669819
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 69593
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------