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Organization

BAKER CARMICHAEL COUNSELING CENTER

Active
Parent organization
SOUTHERN CONCEPTS, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN CONCEPTS, INC
Authorized official
MS. CLAUDIA P SOUTHERN LPC/MED (OWNER/COUNSELOR)
(817) 573-6922
Entity
Organization

Contact information

Practice address
900 WHITEHEAD DR, GRANBURY, TX 76048-2505
(817) 573-6922
(817) 579-6611
Mailing address
900 WHITEHEAD DR, P O BOX 758, GRANBURY, TX 76048-2505
(817) 573-6922
(817) 579-6611

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13881
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027764201
TX
Enumeration date
02/23/2010
Last updated
03/24/2010
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