Organization
RARE BIRD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN BRENNAN LPC (LICENSED PROFESSIONAL COUNSELOR)
(817) 653-3663
Entity
Organization
Contact information
Practice address
230 N PARK BLVD STE 103, GRAPEVINE, TX 76051-6981
(817) 653-3663
Mailing address
200 N KIMBALL AVE STE 221, SOUTHLAKE, TX 76092-6660
(817) 653-3663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
08/09/2023
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