| NPI | 1508527300 |
|---|---|
| Former Legal Business Name | THERAPY ELITE, LLC |
| Entity Type | Organization |
| Authorized Contact | HOLLY HORTON RANDALL Owner/Therapist 936-556-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-02-08 |