Organization
CAROLYN MCCOMIS
Active
Other names
The Counseling Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN MCCOMIS LPC (OWNER/COUNSELOR)
(940) 627-1630
Entity
Organization
Contact information
Practice address
101 S TRINITY ST, DECATUR, TX 76234-1819
(940) 627-1630
(940) 626-3741
Mailing address
101 S TRINITY ST, DECATUR, TX 76234-1819
(940) 627-1630
(940) 626-3741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175788201
—
TX
01
—
RENDERING NPI
1760563514
TX
Enumeration date
03/25/2011
Last updated
03/25/2011
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