The Listening Retreat
Community/Behavioral Health in Mansfield, TX. Organization (NPI-2).
NPI number1982152948
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1982152948
- Entity type
- Organization (NPI-2)
- Legal business name
- The Listening Retreat
- Organization subpart
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 72046 | TX | Yes |
Practice location
305 Regency Pkwy413
Mansfield, TX 76063-3794
Phone 682-292-8255 · Fax 682-201-2225
Mailing address
1709 Scottsdale DrArlington, TX 76018-1868
Authorized official
Samina Long
Owner/Lpc
4052493386
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