Organization
IKULTIVATE COUNSELING AND CONSULTING. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BIANCA SMITH LCSW (PSYCHOTHERAPIST)
(228) 261-9625
Entity
Organization
Contact information
Practice address
22623 WINTER MAPLE TRL, SPRING, TX 77373-2075
(832) 377-6203
Mailing address
22623 WINTER MAPLE TRL, SPRING, TX 77373-2075
(228) 261-9625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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