| NPI | 1477918647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDELYN L GREEN Lpc Therapy 800-905-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69749) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68759) |
| 101YM0800X Counselor, Mental Health (Licence: TX 68759) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |