# MARRIAGE FULLY ALIVE COACHING AND COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simple Marriage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760808133
- **Authorized official:** DR. COREY DAVID ALLAN PH.D. (OWNER/DIRECTOR)
- **Authorized official phone:** (214) 629-6133

## Contact information

- **Practice address:** 6951 VIRGINIA PKWY, SUITE 320, MCKINNEY, TX 75070
- **Practice address phone:** (214) 629-6133
- **Mailing address:** 4502 BELLCREST DR, MCKINNEY, TX 75070-7749
- **Mailing address phone:** (214) 629-6133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 18693 | TX | — |
| 106H00000X | Marriage & Family Therapist | 200944 | TX | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014