Organization
SUBSTANCE ABUSE GUIDANCE AND EDUCATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORREAN LYNN BROWN LCDC (EXE. DIRECTOR)
(512) 698-4951
Entity
Organization
Contact information
Practice address
3980 BOAT CLUB RD STE 207, LAKE WORTH, TX 76135-3207
(817) 238-9911
(817) 237-5711
Mailing address
165 CHURCHILL CIR, WEATHERFORD, TX 76085-2821
(817) 238-9911
(817) 237-5711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/20/2021
Last updated
08/24/2021
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