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Organization
GET MOTIVATED BOOT CAMP
Active
Organization
GET MOTIVATED BOOT CAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LYNN DIEHM (PRES/CEO)
(940) 365-8887
Entity
Organization
Contact information
Practice address
3650 NEW HOPE RD, AUBREY, TX 76227-5073
(940) 365-1818
(940) 365-1863
Mailing address
3650 NEW HOPE RD, AUBREY, TX 76227-5073
(940) 365-1818
(940) 365-1863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/07/2009
Last updated
06/09/2010
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