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Organization
RIVERSIDE COUNSELING, LLC
Active
Organization
RIVERSIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA THOMPSON LPC (OWNER)
(940) 263-1359
Entity
Organization
Contact information
Practice address
1426 DANBERRY STREET, BURKBURNETT, TX 76354
(940) 263-1359
Mailing address
PO BOX 6268, SHEPPARD AFB, TX 76311-0268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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