Organization
CHANGE & HEALING IN COUNSELING SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAYLA PICKNEY LPC (EXECUTIVE DIRECTOR)
(281) 686-3149
Entity
Organization
Contact information
Practice address
1125 ELLIOT LOOP, SAINT MARTINVILLE, LA 70582
(281) 686-3149
Mailing address
1125 ELLIOT LOOP, SAINT MARTINVILLE, LA 70582-7212
(281) 686-3149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312622901
—
TX
Enumeration date
02/11/2014
Last updated
02/11/2014
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