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Organization
PEDIATRIC COUNSELING OF MANSFIELD, PLLC
Active
Organization
PEDIATRIC COUNSELING OF MANSFIELD, PLLC
Active
Other names
Pediatric and Family Counseling of Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA LAMBERT (OWNER)
(682) 422-7070
Entity
Organization
Contact information
Practice address
1848 LONE STAR RD STE 125, MANSFIELD, TX 76063-5791
(682) 422-7070
Mailing address
1848 LONE STAR RD STE 125, MANSFIELD, TX 76063-5791
(682) 422-7070
(682) 323-0944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73578
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345128803
—
TX
Enumeration date
03/05/2018
Last updated
02/06/2024
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