| NPI | 1972851178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA DANLEY Owner 214-690-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 102L00000X Psychoanalyst | |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TH0100X Psychologist Health Service | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |