Organization
C-WEST HOLDINGS
Active
Other names
Luminous Psychological Evaluations and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WILLIAM TRENCHARD (PRESIDENT)
(903) 609-6373
Entity
Organization
Contact information
Practice address
2624 LAMAR AVE, PARIS, TX 75460-4847
(903) 609-6373
(972) 534-2014
Mailing address
2305 WILDWOOD LN, PARIS, TX 75462-3145
(903) 905-3428
(972) 534-2014
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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