Individual
MS. MYLIE GREENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, RPT, NCC
Contact information
Practice address
7009 BRIERHOLLOW CT, FORT WORTH, TX 76132-7110
(817) 773-2459
Mailing address
7009 BRIERHOLLOW CT, FORT WORTH, TX 76132-7110
(817) 773-2459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
77027
TX
101YM0800X
Mental Health Counselor
77027
TX
101YP2500X
Professional Counselor
77027
TX
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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