Organization
C4 HEALTH GROUP PLLC
Active
Other names
Communion Collaborative, Communion Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL ISLE LPC (OWNER)
(469) 712-5734
Entity
Organization
Contact information
Practice address
12740 HILLCREST RD STE 270, DALLAS, TX 75230-2086
(469) 712-5734
Mailing address
201 WILDWOOD PL, ALLEN, TX 75013-1501
(214) 564-5348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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