Organization · NPI-2

Get Motivated Boot Camp

Counselor · Aubrey, TX

NPI number1447489877

StatusActive

Last updated in NPPESJun 9, 2010

Details

NPI: 1447489877
Entity type: Organization (NPI-2)
Legal business name: Get Motivated Boot Camp
Organization subpart: No
Enumeration date: Jul 7, 2009
Last updated: Jun 9, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101Y00000X	Counselor	–	–	Yes
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–

Practice location

3650 New Hope Rd
Aubrey, TX 76227-5073

Phone 940-365-1818 · Fax 940-365-1863

Mailing address

3650 New Hope Rd
Aubrey, TX 76227-5073

Phone 940-365-1818 · Fax 940-365-1863

Authorized official

Michelle Lynn Diehm
Pres/Ceo
9403658887

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