Organization
MENS CENTER FOR COUNSELING AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK S IDE (OWNER)
(336) 423-7697
Entity
Organization
Contact information
Practice address
101 RAINBOW DR, LIVINGSTON, TX 77399-9301
(336) 423-7697
Mailing address
12884 S FRONTRUNNER BLVD STE 140, DRAPER, UT 84020-5488
(336) 423-7697
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
03/13/2026
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