| NPI | 1679018287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY SCHUBARTH Director Of Operations 903-200-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist (Licence: TX 37133) | |
| 101Y00000X Counselor | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2021-07-19 |