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Organization

DEEP WATERS THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLIE HENRY LPC (OWNER)
(940) 390-1077
Entity
Organization

Contact information

Practice address
11472 CLOVER KNOLL DR, FRISCO, TX 75035-8607
(904) 390-1077
Mailing address
11472 CLOVER KNOLL DR, FRISCO, TX 75035-8607
(904) 390-1077

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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