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Organization
THERAPEUTIC LIFESTYLE CENTER LLC
Active
Organization
THERAPEUTIC LIFESTYLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAWN TAGGART LPC (OWNER)
(832) 514-1529
Entity
Organization
Contact information
Practice address
601 STRADA CIR # 109, MANSFIELD, TX 76063-3212
(832) 514-1529
Mailing address
601 STRADA CIR # 109, MANSFIELD, TX 76063-3212
(832) 514-1529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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