| NPI | 1942709209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY CARTLIDGE Owner/Lpc 817-778-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 67053) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-03-11 |