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Organization
MIND AND THERAPY CLINIC
Active
Organization
MIND AND THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODREGO WAY LPC, LCDC (THERAPIST)
(941) 932-3886
Entity
Organization
Contact information
Practice address
130 N PRESTON RD STE 356, PROSPER, TX 75078-9808
(972) 254-4444
Mailing address
PO BOX 341, PROSPER, TX 75078-0341
(941) 932-3886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
05/31/2022
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