Organization
MY COPING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA CLEMENTS (OWNER)
(217) 454-6113
Entity
Organization
Contact information
Practice address
5812 HAMILTON DR, THE COLONY, TX 75056-4348
(217) 454-6113
Mailing address
1509 HENNESSEY DR, ALLEN, TX 75013-5872
(217) 454-6113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TF0000X
Family Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
01/31/2022
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