Provider Demographics
NPI:1528882966
Name:MAKE YOUR LIFE COUNSELING, PLLC
Entity type:Organization
Organization Name:MAKE YOUR LIFE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-A
Authorized Official - Phone:972-345-4871
Mailing Address - Street 1:2505 VALLEY GLEN CT
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4234
Mailing Address - Country:US
Mailing Address - Phone:972-345-4871
Mailing Address - Fax:
Practice Address - Street 1:2505 VALLEY GLEN CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4234
Practice Address - Country:US
Practice Address - Phone:972-345-4871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty