| NPI | 1376123646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY DEANE Owner/Therapist 830-370-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-05-13 |