Provider Demographics
NPI:1184190704
Name:MEND SOCIAL WORK & COUNSELING, PLLC
Entity type:Organization
Organization Name:MEND SOCIAL WORK & COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:214-280-3755
Mailing Address - Street 1:11034 REEDER LN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6441
Mailing Address - Country:US
Mailing Address - Phone:469-387-6039
Mailing Address - Fax:
Practice Address - Street 1:11030 REEDER LN
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6441
Practice Address - Country:US
Practice Address - Phone:469-387-6039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1871956987OtherNPI