MEDICARE: VERTICAL COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1366110173	OTHER		1366110173

General Provider Information

NPI Number	:	1235848318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERTICAL COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	6829 SAN LUIS TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-2871
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670 KELLER PKWY STE 254
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-3777
Country	:	US
Telephone Number	:	817-859-8378
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARLENE BONILLA
Credential	:	LPC
Telephone Number	:	305-588-9555

Provider Enumeration Date	:	11/17/2022
Last Update Date	:	11/17/2022

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Directions to “VERTICAL COUNSELING, PLLC ” Practice Location

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