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Organization
EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC
Active
Organization
EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIYUME MCKINLEY LCSW (OWNER)
(424) 376-8705
Entity
Organization
Contact information
Practice address
240 CASCADE TRL, CASTROVILLE, TX 78009-3600
(800) 210-3631
Mailing address
240 CASCADE TRL, CASTROVILLE, TX 78009-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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