| NPI | 1902176415 |
|---|---|
| Doing Business As | GREAT LIFE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN C. LAMBERT Owner/Licensed Psychologist 469-665-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: TX 33988) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 33988) |
| 103TC0700X Psychologist, Clinical (Licence: TX 33988) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 33988) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 33988) | |
| Enumeration Date | 2012-01-01 |
| Last Update Date | 2019-07-26 |