NPI 1043729072 · live from the CMS NPI Registry
360 Coaching & Counseling
Counselor, Professional in Richardson, TX. National Provider Identifier 1043729072, active.
NPI record
| NPI | 1043729072 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 375 Municipal Dr Ste 232, Richardson, TX 75080 |
| Practice phone | 214-490-5162 |
| Mailing address | 302 W Red Bird Ln, Duncanville, TX 75116 |
| Enumerated | September 21, 2017 |
| Last updated | June 16, 2018 |
| Authorized official | Diana Ryan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 12314 (TX) |
| Counselor, Mental Health | 101YM0800X | 69073 (TX) |
| Counselor, Professional primary | 101YP2500X | 69073 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.