<Unavail>

LBN: Etsah Counseling Center, Pllc
<Unavail> is an health care organization with primary practice located at 3500 Hillcrest Dr Ste 2B , Waco TX 76708-3100. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Etsah Counseling Center, Pllc can be contacted via phone (254) 447-4539, or through Covey, Ntiense via phone (254) 230-8501.

Contact Information

Primary practice address
3500 Hillcrest Dr Ste 2B Waco TX 76708-3100
Phone: (254) 447-4539
Fax: (254) 237-5369
Website:
Map and Directions
Authorized official contact:
Name: Covey, Ntiense Licensed Clinical Social Worker (LCSW)
Phone: (254) 230-8501

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1427591320
LBN Legal business name Etsah Counseling Center, Pllc
DBA Doing business as <Unavail>
Authorized official Covey, Ntiense Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2016
Last updated Dec 2nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427591320 NPPES
Texas MEDICAID 410283201

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