Organization
CULTIVATING CHANGESA, LLC
Active
Organization
CULTIVATING CHANGESA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RENEE RODRIGUEZ LCSW-S (PSYCHOTHERAPIST)
(832) 226-7867
Entity
Organization
Contact information
Practice address
1335 REGENTS PARK DR STE 130, HOUSTON, TX 77058-2541
(281) 810-3613
Mailing address
1335 REGENTS PARK DR STE 130, HOUSTON, TX 77058-2541
(281) 810-3613
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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