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Organization
NUMA, LLC
Active
Organization
NUMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY DANIEL MA, LPC-S (OWNER/DIRECTOR)
(817) 442-3255
Entity
Organization
Contact information
Practice address
578 N. KIMBALL AVE, ST.150, SOUTHLAKE, TX 76092
(817) 442-3255
Mailing address
578 N. KIMBALL AVE, ST.150, SOUTHLAKE, TX 76092
(817) 442-3255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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