Organization
MIIBOSO CONSULTANTS, LLC
Active
Other names
Genesiis Behavioral Health, The Genesiis Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE STITH LPC-S (LICENSED PROFESSIONAL COUNSELOR)
(225) 993-1535
Entity
Organization
Contact information
Practice address
901 W BARDIN RD STE 202, ARLINGTON, TX 76017-6000
(682) 323-5402
(682) 323-5402
Mailing address
901 W BARDIN RD STE 202, ARLINGTON, TX 76017-6000
(682) 323-5402
(682) 323-5402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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