Organization
HONORED SOUL PSYCHOTHERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE AGYPT LCSW (OWNER)
(847) 687-8774
Entity
Organization
Contact information
Practice address
10308 ANAHUAC TRL, AUSTIN, TX 78747-2704
(847) 687-8774
Mailing address
9901 BRODIE LN STE. 160, PMB 1189, AUSTIN, TX 78748-5892
(847) 687-8774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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