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Organization
PHASES COUNSELING & MENTAL HEALTH SERVICES, PLLC
Active
Organization
PHASES COUNSELING & MENTAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA L. SHIPP LPC, LCDC (SOLE MEMBER)
(469) 730-3360
Entity
Organization
Contact information
Practice address
5787 S HAMPTON RD STE 230-K, DALLAS, TX 75232-2255
(469) 730-3360
Mailing address
PO BOX 1638, DESOTO, TX 75123-1638
(469) 730-3360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11144
TX
101YP2500X
Professional Counselor
Primary
65614
TX
Other
Enumeration date
02/20/2013
Last updated
04/26/2013
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