| NPI | 1861670234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PAT CARLSON Partner 903-334-7261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33116) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 18727) |
| 101YP2500X Counselor, Professional (Licence: TX 8054) | |
| 103TC0700X Psychologist, Clinical (Licence: AR 86-04P) | |
| 103TF0200X Psychologist, Forensic (Licence: TX 3316) | |
| 103TF0200X Psychologist, Forensic (Licence: AR 86-04P) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 1831) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 2644) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |