Organization
TULIA GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY SMITH LPC-S (OWNER)
(210) 782-0374
Entity
Organization
Contact information
Practice address
11901 TOEPPERWEIN RD STE 1202, LIVE OAK, TX 78233-3159
(210) 782-0374
Mailing address
11901 TOEPPERWEIN RD STE 1202, LIVE OAK, TX 78233-3159
(210) 782-0374
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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