| NPI | 1346015815 |
|---|---|
| Doing Business As | CONVERGENCE PREP |
| Doing Business As | CONVERGENCE MENTAL PERFORMANCE LAB |
| Entity Type | Organization |
| Authorized Contact | TAWANA BUTLER Owner/CEO 817-913-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TE1100X Psychologist, Exercise & Sports | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |