Amazing Counseling And Rehabilitation Services, Incorporated
Counselor, Professional in Desoto, TX. Organization (NPI-2).
NPI number1407301351
StatusActive
Last updated in NPPESSep 25, 2025
Details
- NPI
- 1407301351
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Counseling And Rehabilitation Services, Incorporated
- Organization subpart
- No
- Enumeration date
- Aug 22, 2016
- Certification date
- Sep 25, 2025
- Last updated
- Sep 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
1534 N Hampton Rd # 200Desoto, TX 75115-2493
Phone 469-941-4067 · Fax 469-941-4091
Mailing address
7268 PortilloGrand Prairie, TX 75054-0073
Phone 817-366-0950
Authorized official
Patrick Anayo Moneke
Ceo
8173660950
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