Organization
AVENUES TO CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN MCCORMICK LPC, NCC (LPC, NCC)
(469) 693-0305
Entity
Organization
Contact information
Practice address
915 LAKE HOLLOW DR, LITTLE ELM, TX 75068-8409
(469) 693-0305
(972) 292-7808
Mailing address
915 LAKE HOLLOW DR, LITTLE ELM, TX 75068-8409
(469) 693-0305
(972) 292-7808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
62863
TX
251S00000X
Community/Behavioral Health Agency
62863
TX
Other
Enumeration date
02/08/2010
Last updated
08/26/2011
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