| NPI | 1639885023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MARLENE BURNELL Counselor 254-813-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-05-07 |