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Organization
LIFE SUPPORT COUNSELING AND RESEARCH
Active
Organization
LIFE SUPPORT COUNSELING AND RESEARCH
Active
Other names
Therapeutic Family Life
Organization subpart
No
Provider details
NPI number
Authorized official
LEON SMITH LPC, LSOTP (EXECUTIVE DIRECTOR)
(512) 451-7310
Entity
Organization
Contact information
Practice address
3809 S 2ND ST STE C400, AUSTIN, TX 78704-7059
(512) 451-7310
(512) 451-0394
Mailing address
3809 S 2ND ST STE C400, AUSTIN, TX 78704-7059
(512) 451-7310
(512) 451-0394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080030201
—
TX
05
—
109348601
—
TX
05
—
109348602
—
TX
05
—
153602101
—
TX
Enumeration date
04/23/2007
Last updated
08/21/2023
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