Organization
BRIGHT SPACE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LOGAN NIX MA LPC (OWNER/COUNSELOR)
(214) 444-3649
Entity
Organization
Contact information
Practice address
100 CRESCENT CT STE 700, DALLAS, TX 75201-2112
(214) 444-3649
Mailing address
2221 CREEKSIDE CIR N, IRVING, TX 75063-3346
(214) 444-3649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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