Individual
LATOYRE PROPHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
5900 BALCONES DR # 16286, AUSTIN, TX 78731-4257
(832) 510-7116
Mailing address
5900 BALCONES DR # 16286, AUSTIN, TX 78731-4257
(832) 510-7116
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203491
TX
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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