Organization
PSYCH COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACIE MARIE RIDGLEY LPC (OWNER)
(903) 530-4474
Entity
Organization
Contact information
Practice address
904 N MAIN ST STE C, CLEBURNE, TX 76033-3803
(903) 530-4474
Mailing address
100 THOUSAND OAKS LN, JOSHUA, TX 76058-4710
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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