Organization
PARA VITA TCT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH PHD, LMFT-S, LPC-S (MANAGING MEMBER)
(972) 653-2919
Entity
Organization
Contact information
Practice address
844 OLD MILLWOOD RD, ROCKWALL, TX 75087-8368
(972) 653-2919
Mailing address
844 OLD MILLWOOD RD, ROCKWALL, TX 75087-8368
(972) 653-2919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/23/2024
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