# NEURODIVERSE RELATIONSHIP COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Potenti LMFT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083461362
- **Authorized official:** MARY POTENTI LMFT (OWNER)
- **Authorized official phone:** (469) 240-1033

## Contact information

- **Practice address:** 1701 GATEWAY BLVD STE 301, RICHARDSON, TX 75080-3546
- **Practice address phone:** (469) 240-1033
- **Mailing address:** 3419 WESTMINSTER AVE \# 262, DALLAS, TX 75205-1387
- **Mailing address phone:** (310) 213-6398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 05/03/2024