| NPI | 1841983830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BATES Owner 214-435-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |