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Organization
MYLYFE COUNSELING CENTER, PLLC
Active
Organization
MYLYFE COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA JOHNSON BLANTON M.ED., LPC (THERAPIST & CLINICAL DIRECTOR)
(469) 340-2887
Entity
Organization
Contact information
Practice address
2379 GUS THOMASSON RD STE 300, MESQUITE, TX 75150-7102
(469) 340-2887
Mailing address
2462 RUSSELL ST, CRANDALL, TX 75114-0048
(469) 340-2887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
07/01/2024
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