Provider Demographics
NPI:1538917570
Name:POISED POTENTIAL COUNSELING AND CONSULTING PLLC
Entity type:Organization
Organization Name:POISED POTENTIAL COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TESHIKA
Authorized Official - Middle Name:SONYETTE
Authorized Official - Last Name:NEWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:682-597-9944
Mailing Address - Street 1:254 N STATE HIGHWAY 360 APT 9303
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2971
Mailing Address - Country:US
Mailing Address - Phone:682-214-8958
Mailing Address - Fax:
Practice Address - Street 1:254 N STATE HIGHWAY 360 APT 9303
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2971
Practice Address - Country:US
Practice Address - Phone:682-597-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)