Organization
MATT GROTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GROTH LPC (MANAGING SOLE MEMBER)
(325) 617-2997
Entity
Organization
Contact information
Practice address
1 N MILTON ST STE 6, SAN ANGELO, TX 76901-3261
(325) 617-2997
Mailing address
1 N MILTON ST STE 6, SAN ANGELO, TX 76901-3261
(325) 617-2997
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/04/2021
Last updated
11/30/2021
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