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Organization
OF VINEYARDS AND CANOPIES THERAPY SERVICES
Active
Organization
OF VINEYARDS AND CANOPIES THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATAVIA AGADA LCSW (OWNER)
(414) 459-9186
Entity
Organization
Contact information
Practice address
3012 CEDAR RIDGE TRL, FRIENDSWOOD, TX 77546-5034
(414) 459-9186
Mailing address
2501 CHATHAM RD # 4769, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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