Organization
C.T. DEEP IMPACT LLC
Active
Other names
CenTex Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL TAMAREZ LPC (OWNER)
(210) 343-5107
Entity
Organization
Contact information
Practice address
3100 S W S YOUNG DR # 10333, KILLEEN, TX 76542-2001
(210) 343-5107
Mailing address
3100 S W S YOUNG DR # 10333, KILLEEN, TX 76542-2001
(210) 343-5107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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