| NPI | 1770892572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY LEIGH ROGERS-SHARER President 254-644-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2017-12-21 |