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Organization

ASPIRE SERVICES GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICEALA BENAVIDEZ PSY.D. (OWNER)
(361) 504-4028
Entity
Organization

Contact information

Practice address
13330 LEOPARD ST, SUITE 4, CORPUS CHRISTI, TX 78410-4400
(361) 504-4028
(361) 288-8409
Mailing address
13330 LEOPARD ST STE 5, CORPUS CHRISTI, TX 78410-4479
(361) 504-4028
(361) 288-8409

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
05/19/2011
Last updated
09/19/2019
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