Provider Demographics
NPI:1366105736
Name:SUFIYANA COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:SUFIYANA COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUMNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED-SWIFT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-710-6246
Mailing Address - Street 1:305 N MAIN ST UNIT 170
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-3642
Mailing Address - Country:US
Mailing Address - Phone:512-710-6246
Mailing Address - Fax:
Practice Address - Street 1:606 BIG SUR TRL
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-7062
Practice Address - Country:US
Practice Address - Phone:310-927-0284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty