| NPI | 1679858310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY THOMAS Owner 512-657-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64908) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64908) |
| 101YM0800X Counselor, Mental Health (Licence: TX 64908) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 64908) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |