Provider Demographics
NPI:1780343723
Name:REC COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:REC COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR. THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REVA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-564-7722
Mailing Address - Street 1:PO BOX 765214
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75376-5214
Mailing Address - Country:US
Mailing Address - Phone:214-564-7722
Mailing Address - Fax:214-372-4014
Practice Address - Street 1:4131 N CENTRAL EXPY STE 900
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2120
Practice Address - Country:US
Practice Address - Phone:214-564-7722
Practice Address - Fax:214-372-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty