| NPI | 1235863242 |
|---|---|
| Doing Business As | PREVAIL COUNSELING & FORENSIC MENTAL HEALTH, |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J KOSUT President Of Company 936-443-9629 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-08-01 |