Organization · NPI-2
Amazing Transitions
Counselor, Mental Health · Conroe, TX
NPI number1992520761
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1992520761
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Transitions
- Organization subpart
- No
- Enumeration date
- Nov 18, 2024
- Certification date
- Nov 18, 2024
- Last updated
- Nov 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
230 Hollywood DrConroe, TX 77303-1547
Phone 936-363-6730
Mailing address
230 Hollywood DrConroe, TX 77303-1547
Phone 936-363-6730
Authorized official
Lakeyah Blaylock
Clinician/Qmhp/Lpa
9363636730
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