Organization
CHRIST UMC DBA MENDING HEARTS GRIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY MYRICK LPC-S (DIRECTOR)
(979) 690-4673
Entity
Organization
Contact information
Practice address
2112 SOUTHWOOD DR, COLLEGE STATION, TX 77840-4863
(979) 704-6406
Mailing address
4201 STATE HIGHWAY 6 S, COLLEGE STATION, TX 77845-8967
(979) 690-4673
(979) 690-6098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62429
TX
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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