Basic Information
| Provider Information | |||||||||
| NPI: | 1922771120 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLINGER | ||||||||
| FirstName: | DENA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2006 MIKE DR | ||||||||
| Address2: | |||||||||
| City: | COPPERAS COVE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765227767 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 80 MORGANS POINT RD STE 105 | ||||||||
| Address2: | |||||||||
| City: | BELTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765136886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2548313029 | ||||||||
| FaxNumber: | 2549393996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2021 | ||||||||
| LastUpdateDate: | 07/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 82993 | TX | Y | Behavioral Health & Social Service Providers | Counselor |
ID Information
| ID | Type | State | Issuer | Description | 82993 | 01 | TX | TEXAS STATE BOARD | OTHER |