Organization
TEXAS REHAB COUNSELING & ASSESSMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA CANNON (DIRECTOR OF CLINICAL SERVICES)
(469) 986-9629
Entity
Organization
Contact information
Practice address
1332 TEASLEY LN # 103A, DENTON, TX 76205-7946
(469) 986-9629
(469) 453-3193
Mailing address
1332 TEASLEY LN # 103A, DENTON, TX 76205-7946
(469) 986-9629
(469) 453-3193
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00230818
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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