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Organization

DOMINGUEZ DREAM CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHANNA J LEWIS DOMINGUEZ MED, LPC, NCC (OWNER)
(346) 241-1416
Entity
Organization

Contact information

Practice address
1406 LEXINGTON BLVD, MISSOURI CITY, TX 77489-2174
(346) 241-1416
(346) 241-1416
Mailing address
1406 LEXINGTON BLVD, MISSOURI CITY, TX 77489-2174
(346) 241-1416
(346) 241-1416

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Enumeration date
12/29/2021
Last updated
04/30/2026
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