| NPI | 1407245145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R ADAMS Lpc 817-863-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66796) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |