| NPI | 1932595444 |
|---|---|
| Other Name | KELLIE MCLARTY LPC |
| Entity Type | Organization |
| Authorized Contact | KELLIE A MCLARTY Lpc, Lcdc 817-296-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19717) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7917) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |