| NPI | 1679362560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MOORE Therapist/Owner 469-875-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |