Provider Demographics
NPI:1043068802
Name:SOARING WINGS COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:SOARING WINGS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:214-753-8017
Mailing Address - Street 1:2770 MAIN ST STE 141
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4359
Mailing Address - Country:US
Mailing Address - Phone:214-753-8017
Mailing Address - Fax:214-894-3904
Practice Address - Street 1:2770 MAIN ST STE 141
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4359
Practice Address - Country:US
Practice Address - Phone:214-753-8017
Practice Address - Fax:214-894-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty