Provider Demographics
NPI:1538748280
Name:ANNA VAUGHT COUNSELING AND WELLNESS, PLLC
Entity type:Organization
Organization Name:ANNA VAUGHT COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:VAUGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:469-252-7090
Mailing Address - Street 1:505 E EXCHANGE PKWY APT 6201
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1751
Mailing Address - Country:US
Mailing Address - Phone:240-593-3600
Mailing Address - Fax:
Practice Address - Street 1:3128 HUDSON CROSSING
Practice Address - Street 2:BLDG E, STE 1
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:469-252-7090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health