Individual
AVIS NIOUS STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2608 HIBERNIA ST, DALLAS, TX 75204-2514
(214) 597-8388
Mailing address
2608 HIBERNIA ST, DALLAS, TX 75204-2514
(214) 597-8388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106747
TX
1041C0700X
Clinical Social Worker
Primary
106747
TX
Other
Enumeration date
02/02/2024
Last updated
03/30/2026
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