Provider Demographics
NPI:1679811236
Name:NORTH STAR COUNSELING SERVICES
Entity type:Organization
Organization Name:NORTH STAR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:512-251-5338
Mailing Address - Street 1:400 W MAIN ST
Mailing Address - Street 2:218
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5808
Mailing Address - Country:US
Mailing Address - Phone:512-251-5338
Mailing Address - Fax:512-692-2785
Practice Address - Street 1:1001 TWIN CREEK DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2849
Practice Address - Country:US
Practice Address - Phone:512-251-5338
Practice Address - Fax:512-692-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10204101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty