Basic Information
| Provider Information | |||||||||
| NPI: | 1881900769 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GOOD DAY COUNSELING P.L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1713 RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | CARROLLTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750063901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727629942 | ||||||||
| FaxNumber: | 8668240064 | ||||||||
| Practice Location | |||||||||
| Address1: | 1713 RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | CARROLLTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750063901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727629942 | ||||||||
| FaxNumber: | 8662930414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2010 | ||||||||
| LastUpdateDate: | 10/27/2011 | ||||||||
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| AuthorizedOfficialLastName: | BASSILI | ||||||||
| AuthorizedOfficialFirstName: | LUCINDA | ||||||||
| AuthorizedOfficialMiddleName: | JANE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9727629942 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 19671 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.