Organization
DIAMOND M COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY ROSE STOVER MA, LPC-S (CEO)
(512) 964-4663
Entity
Organization
Contact information
Practice address
2650 COUNTY ROAD 450, THRALL, TX 76578-8749
(512) 964-4663
Mailing address
2650 COUNTY ROAD 450, THRALL, TX 76578-8749
(512) 964-4663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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