Provider Demographics
NPI:1295075711
Name:AGH COUNSELING CENTER
Entity type:Organization
Organization Name:AGH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:GAYE
Authorized Official - Last Name:HENRICHSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-607-1737
Mailing Address - Street 1:9709 PEACH TREE LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-8418
Mailing Address - Country:US
Mailing Address - Phone:214-607-1737
Mailing Address - Fax:214-607-1737
Practice Address - Street 1:14110 DALLAS PKWY STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-4326
Practice Address - Country:US
Practice Address - Phone:214-607-1737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66523251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health