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Organization

CHANGE MY LIFE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH EDWIN CORNE LPC (OWNER/DIRECTOR)
(940) 704-6623
Entity
Organization

Contact information

Practice address
713 NW RENFRO ST, BURLESON, TX 76028-3439
(940) 704-6623
Mailing address
251 SW WILSHIRE BLVD STE 124, BURLESON, TX 76028-4779

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/28/2021
Last updated
06/28/2021
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