Organization
MINDFUL HEARTS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA E FAJARDO LPC (LICENSED PROFESSIONAL COUNSELOR)
(469) 713-2413
Entity
Organization
Contact information
Practice address
1925 E BELT LINE RD STE 258, CARROLLTON, TX 75006-5801
(469) 713-2413
Mailing address
450 S DENTON TAP RD UNIT 693, COPPELL, TX 75019-7129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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