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Organization

PHENOMENAL U PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SKYE ALEXIA GLOVER LPC, LPC-A (OWNER, THERAPIST)
(469) 830-2848
Entity
Organization

Contact information

Practice address
1071 LAKE CAROLYN PKWY APT 3089, IRVING, TX 75039-4868
(469) 830-2848
Mailing address
1071 LAKE CAROLYN PKWY APT 3089, IRVING, TX 75039-4868
(469) 830-2848

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/22/2023
Last updated
06/22/2023
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