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Organization
EXPERIENCE LIFE COUNSELING SERVICES, PLLC
Active
Organization
EXPERIENCE LIFE COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILY DAWSON LPC (THERAPIST/OWNER)
(281) 849-4402
Entity
Organization
Contact information
Practice address
1408B STONEHOLLOW DR STE 600, KINGWOOD, TX 77339-2277
(281) 849-4402
Mailing address
1408B STONEHOLLOW DR STE 600, KINGWOOD, TX 77339-2277
(281) 849-4402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
04/25/2020
Last updated
08/01/2022
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