| NPI | 1932519063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RICHARDS Co Owner 210-209-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor Mental Health | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| 101YM0800X Counselor Mental Health (Licence: TX 19056) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-03-23 |