Organization
THE HAVEN WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L BRAZEAL LPC-S (CO-OWNER AND THERAPIST)
(214) 535-8374
Entity
Organization
Contact information
Practice address
4310 GASTON AVE STE 200, DALLAS, TX 75246-1312
(214) 535-8374
Mailing address
4310 GASTON AVE STE 200, DALLAS, TX 75246-1312
(214) 535-8374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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