| NPI | 1699492793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMIE MATHEWS Owner/Provider 903-343-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |