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Organization
VITALIS PSYCHOTHERAPY AND COUNSELLING LLC
Active
Organization
VITALIS PSYCHOTHERAPY AND COUNSELLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AANCHAL RAJAGOPAL (CEO)
(801) 696-6038
Entity
Organization
Contact information
Practice address
771 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-1483
(682) 593-1701
Mailing address
706 PRINCE GEORGE CT, SOUTHLAKE, TX 76092-9360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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