| NPI | 1730730052 |
|---|---|
| Doing Business As | BACK PORCH THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | JOCELYN SIPES Therapist 903-515-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |