Organization
THE CULTIVATE COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE SZYMANSKI MT-BC (OWNER)
(847) 624-0986
Entity
Organization
Contact information
Practice address
190 W STATE HIGHWAY 114 STE G, SOUTHLAKE, TX 76092-3612
(214) 444-8539
Mailing address
300 STATE ST UNIT 92664, SOUTHLAKE, TX 76092-1224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
—
—
225A00000X
Music Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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