Organization · NPI-2

My Coping Center LLC

Clinic/Center, Multi-Specialty · The Colony, TX

NPI number1699439869

StatusActive

Last updated in NPPESJan 31, 2022

Details

NPI: 1699439869
Entity type: Organization (NPI-2)
Legal business name: My Coping Center LLC
Organization subpart: No
Enumeration date: Oct 25, 2021
Certification date: Jan 31, 2022
Last updated: Jan 31, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	–	–	Yes
101Y00000X	Counselor	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103T00000X	Psychologist	–	–
103TA0400X	Psychologist, Addiction (Substance Use Disorder)	–	–
103TF0000X	Psychologist, Family	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–

Practice location

5812 Hamilton Dr
The Colony, TX 75056-4348

Phone 217-454-6113

Mailing address

1509 Hennessey Dr
Allen, TX 75013-5872

Phone 217-454-6113

Authorized official

Stacia Clements
Owner
2174546113

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