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Organization

CHOICES TO CHANGES PSYCHOTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LERLENE SANTOYO LPC, ASOTP (OWNER)
(832) 754-9925
Entity
Organization

Contact information

Practice address
2616 S LOOP W, SUITE 550, HOUSTON, TX 77054-2662
(832) 754-9925
(713) 283-0821
Mailing address
2616 S LOOP W, SUITE 550, HOUSTON, TX 77054-2662
(832) 754-9925
(713) 283-0821

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
63927
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208272903
TX
Enumeration date
07/29/2014
Last updated
07/29/2014
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