| NPI | 1669408100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE KEIL Billing 817-557-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-09-11 |