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Organization
THERAPY ELITE, LLC
Active
Organization
THERAPY ELITE, LLC
Active
Other names
Therapy Elite, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY HORTON RANDALL LCSW-S (OWNER/THERAPIST)
(936) 556-1162
Entity
Organization
Contact information
Practice address
2424 N PECAN ST STE 107A, NACOGDOCHES, TX 75965-3586
(936) 556-1162
Mailing address
8801 E STATE HIGHWAY 7, NACOGDOCHES, TX 75961-8926
(936) 556-1162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
02/08/2022
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