Organization
CHANGE OF MIND COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHAEL MARY EDELMAN LPC (OWNER)
(281) 620-9785
Entity
Organization
Contact information
Practice address
202 REYNOLDS AVE, LEAGUE CITY, TX 77573-4159
(281) 620-9785
Mailing address
PO BOX 57231, WEBSTER, TX 77598-7231
(281) 620-9785
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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