Provider Demographics
NPI:1235986282
Name:ENDEAVOR COUNSELING LLC
Entity type:Organization
Organization Name:ENDEAVOR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ISEMINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:832-205-8138
Mailing Address - Street 1:25203 TUCKAHOE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8013
Mailing Address - Country:US
Mailing Address - Phone:832-205-8138
Mailing Address - Fax:832-384-9456
Practice Address - Street 1:25203 TUCKAHOE LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8013
Practice Address - Country:US
Practice Address - Phone:832-205-8138
Practice Address - Fax:832-384-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty