# EMERGE RENEWED THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emerge Renewed Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194428599
- **Authorized official:** TIFFANY FLORES MA LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (469) 209-9074

## Contact information

- **Practice address:** 903 S MAIN ST STE 107, DUNCANVILLE, TX 75137-2347
- **Practice address phone:** (469) 209-9074
- **Mailing address:** 903 S MAIN ST STE 107, DUNCANVILLE, TX 75137-2347
- **Mailing address phone:** (469) 209-9074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2023
- **Last updated:** 03/24/2023
