Provider Demographics
NPI:1639060882
Name:CONVERSATION CORNER COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:CONVERSATION CORNER COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-265-8526
Mailing Address - Street 1:500 W OVERLAND AVE STE 250X
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1141
Mailing Address - Country:US
Mailing Address - Phone:915-265-8526
Mailing Address - Fax:
Practice Address - Street 1:500 W OVERLAND AVE STE 250X
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1141
Practice Address - Country:US
Practice Address - Phone:915-265-8526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty