Organization
92 REASONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA AYANA CANNON CRC, LPC (OWNER/ COUNSELOR)
(469) 986-9629
Entity
Organization
Contact information
Practice address
1332 TEASLEY LN STE 192, DENTON, TX 76205-7946
(469) 406-5351
Mailing address
1332 TEASLEY LN STE 192, DENTON, TX 76205-7946
(469) 406-5351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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