Organization
CENTEX LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAVANNAH RAE TUCKER LPC (OWNER/ PROFESSIONAL COUNSELOR)
(512) 709-6475
Entity
Organization
Contact information
Practice address
208 E CENTRAL AVE, SUITE 104, BELTON, TX 76513-3205
(512) 709-6475
Mailing address
208 E. CENTRAL AVE, SUITE 104, BELTON, TX 76513-3213
(512) 709-6475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043504434
—
TX
Enumeration date
02/10/2012
Last updated
02/10/2012
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