Provider Demographics
NPI:1780402289
Name:ATLAS COUNSELING & TRAUMA SERVICES, PLLC
Entity type:Organization
Organization Name:ATLAS COUNSELING & TRAUMA SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S, NCC
Authorized Official - Phone:325-227-6759
Mailing Address - Street 1:2002 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-3906
Mailing Address - Country:US
Mailing Address - Phone:325-227-6759
Mailing Address - Fax:325-227-6760
Practice Address - Street 1:2002 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-3906
Practice Address - Country:US
Practice Address - Phone:325-227-6759
Practice Address - Fax:325-227-6760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty