Organization
MYSTIC MAZE THERAPY AND CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA FRAZIER LMFT, LPC (OWNER/SUPERVISOR)
(469) 542-0463
Entity
Organization
Contact information
Practice address
1411 TAPERWICKE DR, DALLAS, TX 75232-4609
(469) 542-0463
Mailing address
722 OAKBLUFF DR, LANCASTER, TX 75146-1429
(469) 542-0463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/25/2022
Last updated
08/08/2022
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