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Organization
MASTERLIFE COUNSELING
Active
Organization
MASTERLIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE PETAWAY LPC (OWNER)
(713) 419-5159
Entity
Organization
Contact information
Practice address
6575 WEST LOOP S STE 500, BELLAIRE, TX 77401-3509
(832) 377-0276
Mailing address
12930 CHRYSANTHEMUM DR, HOUSTON, TX 77085-3390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215577374
—
TX
Enumeration date
03/12/2020
Last updated
03/12/2020
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