| NPI | 1700131885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE E. MILLER Licensed Professional Counselor 469-323-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 64216) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64216) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 64216) | |
| 101YM0800X Counselor Mental Health (Licence: TX 64216) | |
| 101YP1600X Counselor Pastoral (Licence: TX 64216) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |