Organization
FULL LIFE PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LAURA JAMES PHD (MANAGER)
(915) 929-7718
Entity
Organization
Contact information
Practice address
2629 E YANDELL DR STE A, EL PASO, TX 79903-3724
(915) 233-7145
(915) 200-0698
Mailing address
2629 E YANDELL DR STE A, EL PASO, TX 79903-3724
(915) 233-7145
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/17/2020
Last updated
12/19/2024
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