Organization
HUGULEY PSYCHOTHERAPY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA JOY BLACK LCSW (PRESIDENT)
(817) 558-2988
Entity
Organization
Contact information
Practice address
214 N CADDO ST, CLEBURNE, TX 76031-4904
(817) 558-2988
Mailing address
214 N CADDO ST, CLEBURNE, TX 76031-4904
(817) 558-2988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S14390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197543-06
—
TX
01
—
124649
MHN
TX
01
—
183595
VALUE OPTIONS
TX
01
—
6275711
UBH
TX
Enumeration date
04/15/2008
Last updated
04/20/2011
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