Provider Demographics
NPI:1497576763
Name:MERCIFUL MINDS COUNSELING LLC
Entity type:Organization
Organization Name:MERCIFUL MINDS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRESS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:346-763-1084
Mailing Address - Street 1:225 DRAKE RUN LN
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-4292
Mailing Address - Country:US
Mailing Address - Phone:346-763-1084
Mailing Address - Fax:
Practice Address - Street 1:225 DRAKE RUN LN
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-4292
Practice Address - Country:US
Practice Address - Phone:346-763-1084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty