| NPI | 1215155528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE YVETTE CELAYA-FORBES President 817-282-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32477) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 04377) |
| 101YP2500X Counselor, Professional (Licence: TX 11248) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 2-3673) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 23661) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 03339) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 2773) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 2793) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2025-09-11 |