Individual
ASSATA BAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25187 FALLING LEAVES DR, PORTER, TX 77365-6886
(504) 914-2255
(999) 999-9999
Mailing address
25187 FALLING LEAVES DR, PORTER, TX 77365-6886
(504) 914-2255
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
99047
TX
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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