| NPI | 1720459464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA LEIGH GONZALEZ Owner 972-979-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 71566) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 71566) |
| 101YM0800X Counselor, Mental Health (Licence: TX 71566) | |
| 101YP2500X Counselor, Professional (Licence: TX 71566) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 71566) | |
| 251S00000X Community/Behavioral Health (Licence: TX 71566) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |