| NPI | 1093244147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CARTER Credentialing Manager 214-725-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 63523) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 63523) |
| 103TC1900X Psychologist Counseling | |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2021-08-24 |