Your Life Counseling Center, PLLC
Social Worker, Clinical in Allen, TX. Organization (NPI-2).
NPI number1699010959
StatusActive
Last updated in NPPESApr 11, 2013
Details
- NPI
- 1699010959
- Entity type
- Organization (NPI-2)
- Legal business name
- Your Life Counseling Center, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2012
- Last updated
- Apr 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 38296 | TX | Yes |
Practice location
400 N Allen DrSuite #103
Allen, TX 75013-2555
Phone 469-569-3945
Mailing address
400 N Allen DrSuite #103
Allen, TX 75013-2555
Phone 469-569-3945
Authorized official
Shanti Majefski
Manager/Member
4695693945
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