# ADD LIFE MENTORING OF VICTORIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Add Life Mentoring of Victoria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306181185
- **Authorized official:** MR. ISIAH JOHNSON (CEO)
- **Authorized official phone:** (713) 571-9727

## Contact information

- **Practice address:** 3308 BOBOLINK ST, VICTORIA, TX 77901-7612
- **Practice address phone:** (713) 571-9727
- **Practice address fax:** (281) 829-7236
- **Mailing address:** 3308 BOBOLINK ST, VICTORIA, TX 77901-7612
- **Mailing address phone:** (713) 571-9727
- **Mailing address fax:** (281) 829-7236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2012
- **Last updated:** 12/04/2012