Organization
LAVELLE CREATIVE LLC
Active
Other names
Texas Care Center South Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WILSON (OWNER)
(512) 487-4303
Entity
Organization
Contact information
Practice address
600 GUADALUPE ST APT 3515, AUSTIN, TX 78701-3367
(512) 487-4303
Mailing address
600 GUADALUPE ST APT 3515, AUSTIN, TX 78701-3367
(512) 487-4303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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