| NPI | 1912032319 |
|---|---|
| Doing Business As | LIVE OAK COUNSELING |
| Entity Type | Organization |
| Authorized Contact | BARRY JAY FENTON Physician 214-520-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103T00000X Psychologist | |
| 103TR0400X Psychologist, Rehabilitation | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-09-24 |